Organization
JOHN H STROGER HOSPITAL OF COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJA MATHEW M.D. (PROGRAM DIRECTOR)
(312) 864-7218
Entity
Organization
Contact information
Practice address
96 JONATHAN LUCAS ST, SUITE 812-CSB, CHARLESTON, SC 29425-8900
(312) 375-3257
Mailing address
3100 ASHLEY TOWN CENTER DR, 447, CHARLESTON, SC 29414-5682
(312) 375-3257
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125051665
IL
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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