NPI 1104842343

Provident Hospital of Cook County

Organisation Medicare Defined Swing Bed Hospital Unit Chicago, IL

Practice location

Address: 500 E 51st St, Chicago, IL 60615-2400
Phone: (312) 572-2000
Fax: (312) 572-2595
Mailing address: 7517 Florence Ave, Downers Grove, IL 60516-4482

Authorised official

Name: Mary Abraham
Title: Physician
Phone: (312) 572-2000

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary

Hospital Units Taxonomy 275N00000X Licence 03681558 (IL)

Other Medicare Defined Swing Bed Unit providers in Illinois →

Registry record

NPI: 1104842343
Entity type: Organization
NPI issued: 14 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.