Organization
COOK COUNTY
Active
Other names
John H. Stroger, Jr. Hospital of Cook County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN O MAGEE (CONTROLLER)
(312) 864-4686
Entity
Organization
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1900 W POLK ST, ROOM G-16, CHICAGO, IL 60612-3723
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0005272
IL
Other
Enumeration date
11/06/2007
Last updated
09/05/2008
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