Organization Active NPI

John H. Stroger Jr. Hospital of Cook County

  • Critical Access Hospital
  • Chicago, IL
National Provider Identifier
1104958859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
30900185 Issued in IL
Legal business name
JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY
Practice address
1901 W Harrison St
Chicago, IL 60612-3714
Phone
(312) 864-5145
Fax
(312) 864-9650
NPI assigned
Mar 9, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Rachel Olufemi, CNPNPI 1396964805
Title
NP
Phone
(312) 864-5145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
John H Stroger Jr Hospital of Cook County (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 30900185 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1901 W Harrison St
Chicago, IL 60612-3714

Mailing address

502 Yates Ave
Calumet City, IL 60409-3165
Phone (708) 862-7459

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
30900185OtherILLICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104958859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 YATES AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093165",
            "telephone_number": "708-862-7459",
            "fax_number": "312-864-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-5145",
            "fax_number": "312-864-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLUFEMI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "312-864-5145",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "30900185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "30900185",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.