Organization
JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREMA DAVID MSN, NP-C (ADVANCED PRACTICE NURSE)
(312) 864-6000
Entity
Organization
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
8151 TRIPP AVE, SKOKIE, IL 60076-3249
(847) 676-1534
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
209-000941(41-192393
IL
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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