PROVIDENT HOSPITAL OF COOK COUNTY; NPI #1104842343

Contact Information

PROVIDENT HOSPITAL OF COOK COUNTY

500 E 51ST ST
CHICAGO, IL 60615-2400

Phone: 312-572-2000
Fax: 312-572-2595
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medicare Defined Swing Bed Unit	275N00000X	A0[7]	Hospital-Swing Bed Approved

Indicates primary specialty

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NPI Profile & details for PROVIDENT HOSPITAL OF COOK COUNTY

NPI # 1104842343

LBN Legal business name PROVIDENT HOSPITAL OF COOK COUNTY

Authorized official MARY ABRAHAM - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/14/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

03681558

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PROVIDENT HOSPITAL OF COOK COUNTY

Contact Information

Specialty

Medicare Defined Swing Bed Unit

NPI Profile & details for PROVIDENT HOSPITAL OF COOK COUNTY

Reviews for PROVIDENT HOSPITAL OF COOK COUNTY