Organization Active NPI

John H. Stroger, Jr. Hospital of Cook County

  • Urology Physician
  • Oak Forest, IL
National Provider Identifier
1891036984
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036.045279 Issued in IL
Legal business name
JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Practice address
15900 South Cicero Ave
Oak Forest, IL 60452
Phone
(708) 687-7200
Fax
(708) 687-4198
NPI assigned
Mar 14, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Courtney M.P. Hollowell, M.D.NPI 1326057712
Title
Chairman
Phone
(312) 864-5233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036.045279 IL Primary

Addresses

Primary practice location

15900 South Cicero Ave
Oak Forest, IL 60452

Mailing address

1900 W Polk St
Suite 465
Chicago, IL 60612-3723
Phone (312) 864-5233

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1891036984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W POLK ST",
            "address_2": "SUITE 465",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723",
            "telephone_number": "312-864-5233",
            "fax_number": "312-864-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 SOUTH CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "60452",
            "telephone_number": "708-687-7200",
            "fax_number": "708-687-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "HOLLOWELL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "M.P.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "312-864-5233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.045279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.