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Organization

JOHN H STROGER HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HERMINA KUNG JEON (INTERNAL MEDICINE/RESIDENT)
(510) 828-8746
Entity
Organization

Contact information

Practice address
627 S WOOD ST, RM 832A, CHICAGO, IL 60612-3821
(312) 333-8779
(312) 864-9725
Mailing address
2057 MARK CIR, BOLINGBROOK, IL 60490-4916
(510) 828-8746
(312) 864-9725

Taxonomy

Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568777852
HMO
IL
05
1568777852
IL
Enumeration date
08/11/2010
Last updated
07/21/2022
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