Organization Active NPI

John H Stoger Hospital of Cook County

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1801103445
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
125055660 Issued in IL
Legal business name
JOHN H STOGER HOSPITAL OF COOK COUNTY
Practice address
1900 W Harrison St
Department of Medicin 15TH Floor
Chicago, IL 60612-3736
Phone
(410) 294-8611
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Dr. Suja Mathew, M.D.
Title
Program Director
Phone
(312) 864-7229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 125055660 IL Primary

Addresses

Primary practice location

1900 W Harrison St
Department of Medicin 15TH Floor
Chicago, IL 60612-3736

Mailing address

100 Forest PL
Apt G1
Oak Park, IL 60301-1145
Phone (410) 294-8611

National Provider Directory

National Provider Directory

Locations

1900 W Harrison St
Fl 15
Chicago, IL 60612
Phone (410) 294-8611

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1801103445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FOREST PL",
            "address_2": "APT G1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011145",
            "telephone_number": "410-294-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W HARRISON ST",
            "address_2": "DEPARTMENT OF MEDICIN 15TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123736",
            "telephone_number": "410-294-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H STOGER HOSPITAL OF COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SUJA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "312-864-7229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125055660",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2010; 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.