Organization
PROVIDENT HOSPITAL OF COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ABRAHAM M.D (PHYSICIAN)
(312) 572-2000
Entity
Organization
Contact information
Practice address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-2000
(312) 572-2595
Mailing address
7517 FLORENCE AVE, DOWNERS GROVE, IL 60516-4482
(630) 271-1270
(630) 271-1270
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
03681558
IL
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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