Organization
JOHN STROGER HOSIPTAL OF COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJA MATHEW MD (PROGRAM DIRECTOR)
(312) 864-0394
Entity
Organization
Contact information
Practice address
903 S ASHLAND AVE APT 908B, CHICAGO, IL 60607-4189
(312) 265-6306
Mailing address
903 S ASHLAND AVE APT 908B, CHICAGO, IL 60607-4189
(312) 265-6306
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125054020
IL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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