Organization
PROVIDENT HOSPITAL OF COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON HAMB M.D. (MEDICAL DIRECTOR)
(312) 572-2370
Entity
Organization
Contact information
Practice address
500 E 51ST ST, DEPARTMENT OF GENERAL SURGERY, ROOM 7058, CHICAGO, IL 60615-2400
(312) 572-2664
(312) 572-2681
Mailing address
500 E 51ST ST, DEPARTMENT OF GENERAL SURGERY, ROOM 7058, CHICAGO, IL 60615-2400
(312) 572-2664
(312) 572-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001953
IL
Other
Enumeration date
10/19/2006
Last updated
06/18/2008
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