Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
PROVIDENT HOSPITAL OF COOK COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK COUNTY
Authorized official
CHARLIA ARBO (DIRECTOR OF PHARAMCY)
(312) 572-5858
Entity
Organization
Contact information
Practice address
500 E 51ST STREET, ROOM 2008 AND 2050, CHICAGO, IL 60615
(312) 572-5858
(312) 572-2959
Mailing address
500 E 51ST STREET, ROOM 2008 AND 2050, CHICAGO, IL 60615-2400
(312) 572-5858
(312) 572-2959
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
054.017285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020716
PK
—
Enumeration date
03/26/2007
Last updated
02/18/2020
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