Provident Hospital of Cook County

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PROVIDENT HOSPITAL OF COOK COUNTY

Practice address

500 E 51St St
Chicago, IL 60615-2400

Phone

(312) 572-1202

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Thomas - Hall

Title

Cfo

Phone

(312) 572-1202

Specialties & licenses 1

Addresses

Tax ID family

Community Triage Center67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Cook County

  dba Cook County Health at Blue Island Health Center

  • Clinic Pharmacy
  • Blue Island, IL
  • NPI 1043238298
  NPD tax ID
• Cook County

  dba Robbins Health Center (FFS)

  • Family Medicine Physician
  • Robbins, IL
  • NPI 1053942045
  NPD tax ID
• Cook County

  dba Cook County Health - S - UA

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1093283533
  NPD tax ID
• Cook County

  dba Westside Health Center

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1124148366
  NPD tax ID
• Cook County

  dba Near South Health Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1194356089
  NPD tax ID
• Cook County

  dba Charles Hayes Center

  • Student Health Clinic/Center
  • Chicago, IL
  • NPI 1194845495
  NPD tax ID
• Cook County

  dba John Sengstacke Health Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1235760224
  NPD tax ID
• Cook County

  dba Cook County Health at North Riverside Health (FFS)

  • Family Medicine Physician
  • North Riverside, IL
  • NPI 1295366466
  NPD tax ID
• Cook County

  dba Children's Advocacy Center

  • Student Health Clinic/Center
  • Chicago, IL
  • NPI 1336269240
  NPD tax ID
• Cook County

  dba Ruth M. Rothstein CORE Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1366073256
  NPD tax ID
• Cook County

  dba Arlington Heights Health Center (FFS)

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1366073355
  NPD tax ID
• Cook County

  dba Cook County Health Professional Building

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1386110674
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph Solomon, M.D.

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1013004282
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164522447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CIR",
            "address_2": "UNIT 110",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801802",
            "telephone_number": "708-839-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 51ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152400",
            "telephone_number": "312-572-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENT HOSPITAL OF COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS - HALL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-572-1202"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proverbs 3 PC (That's The Tooth)
• Tim S. Provias, M.D.
• Providence Center
• Providence Homecare Services Inc
• Provident Hospital of Cook County
• Provident Hospital of Cook County
• Provider Connection
• Provider Services at St Bernard
• Provider Stat PLLC
• Haley Skye Province

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• 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.