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Organization
JOHN H STROGER HOSPITAL
Active
Organization
JOHN H STROGER HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HERMINA KUNG JEON (INTERNAL MEDICINE/RESIDENT)
(510) 828-8746
Entity
Organization
Contact information
Practice address
627 S WOOD ST, RM 832A, CHICAGO, IL 60612-3821
(312) 333-8779
(312) 864-9725
Mailing address
2057 MARK CIR, BOLINGBROOK, IL 60490-4916
(510) 828-8746
(312) 864-9725
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568777852
HMO
IL
05
—
1568777852
—
IL
Enumeration date
08/11/2010
Last updated
07/21/2022
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