# SOUTH SHORE HOSPITAL CORPORATION

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

## Provider details

- **NPI number:** 1861569253
- **Authorized official:** MR. TIMOTHY A. CAVENEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (773) 356-5312

## Contact information

- **Practice address:** 8012 S CRANDON AVE, CHICAGO, IL 60617-1124
- **Practice address phone:** (773) 356-5312
- **Practice address fax:** (773) 768-8154
- **Mailing address:** 8012 S CRANDON AVE, CHICAGO, IL 60617-1124
- **Mailing address phone:** (773) 356-5312
- **Mailing address fax:** (773) 768-8154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 1706462 | IL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020