Provident Hospital Of Cook County
Medicare Defined Swing Bed Unit in Chicago, IL. Organization (NPI-2).
NPI number1104842343
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104842343
- Entity type
- Organization (NPI-2)
- Legal business name
- Provident Hospital Of Cook County
- Organization subpart
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 275N00000X | Medicare Defined Swing Bed Unit | 03681558 | IL | Yes |
Practice location
500 E 51st StChicago, IL 60615-2400
Phone 312-572-2000 · Fax 312-572-2595
Mailing address
7517 Florence AveDowners Grove, IL 60516-4482
Phone 630-271-1270 · Fax 630-271-1270
Authorized official
Mary Abraham
Physician
3125722000
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