John H. Stroger, Jr. Hospital of Cook County

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

209-000941(41-192393 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) 864-6000

NPI assigned

Jul 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

Prema David, MSN, NP-CNPI 1558304956

Title

Advanced Practice Nurse

Phone

(312) 864-6000

Specialties & licenses 1

Addresses

Tax ID family

John H Stroger Jr Hospital of Cook County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• John H. Stroger Jr. Hospital of Cook County

  • Critical Access Hospital
  • Chicago, IL
  • NPI 1104958859
  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.

• Prema David, RN,MSN,NP-C

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1558304956
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659394229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 TRIPP AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763249",
            "telephone_number": "847-676-1534"
        },
        {
            "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": "312-864-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "PREMA",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "312-864-6000",
        "authorized_official_credential": "MSN, NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "209-000941(41-192393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Stroger Jr. Hospital of Cook County
• John H. Stroger Jr. Hospital of Cook County
• John H. Stroger Jr. Hospital of Cook County (Cermak Health Services of Cook County)
• John H. Stroger, Jr Hospital of Cook County
• John H. Stroger, Jr. Hospital of Cook County
• John H. Stroger, Jr. Hospital of Cook County
• John Houston (Pediatric Urology)
• John Hughes Psychotherapy PLLC
• John J Mrozek DDS, PC
• John Knapp, P.C. (Center for Psychodynamic Psychotherapy)

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center 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.