Organization
JOHN STROGER COOK COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MARIE JOHNSON (ASSOC ADMINISTRATOR)
(312) 864-4692
Entity
Organization
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4692
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4692
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE SHIELD
BLUE SHIELD PROIV NUMBERF
IL
Enumeration date
05/21/2007
Last updated
01/18/2008
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