Organization
JOHN H STOGER HOSPITAL OF COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJA MATHEW M.D. (PROGRAM DIRECTOR)
(312) 864-7229
Entity
Organization
Contact information
Practice address
1900 W HARRISON ST, DEPARTMENT OF MEDICIN 15TH FLOOR, CHICAGO, IL 60612-3736
(410) 294-8611
Mailing address
100 FOREST PL, APT G1, OAK PARK, IL 60301-1145
(410) 294-8611
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125055660
IL
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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