Provident Hospital of Cook County

Organization Active NPI General Acute Care Hospital · Chicago, IL

NPI 1164522447 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1164522447
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 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
Organization subpart
No

Authorized official

Name
Pamela Thomas - Hall
Title
Cfo
Phone
(312) 572-1202

Corporate family (same tax ID) 20

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

Tax ID family
Community Triage Center (67 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X IL Yes

Addresses

Primary practice location

500 E 51St St
Chicago, IL 60615-2400

Mailing address

400 Village Cir
Unit 110
Willow Springs, IL 60480-1802
Phone (708) 839-1833

Other providers in Chicago, IL

All providers in Chicago, IL · General Acute Care Hospital in Illinois

Sources for this page

Verify at the official NPI Registry.