# JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659394229
- **Authorized official:** PREMA DAVID MSN, NP-C (ADVANCED PRACTICE NURSE)
- **Authorized official phone:** (312) 864-6000

## Contact information

- **Practice address:** 1901 W HARRISON ST, CHICAGO, IL 60612-3714
- **Practice address phone:** (312) 864-6000
- **Mailing address:** 8151 TRIPP AVE, SKOKIE, IL 60076-3249
- **Mailing address phone:** (847) 676-1534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 209-000941(41-192393 | IL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020
