Organization
PROVIDENT HOSPITAL OF COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA THOMAS - HALL (CFO)
(312) 572-1202
Entity
Organization
Contact information
Practice address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-1202
Mailing address
400 VILLAGE CIR, UNIT 110, WILLOW SPRINGS, IL 60480-1802
(708) 839-1833
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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