Organization Active NPI

John H Stroger Hospital of Cook County

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1962719930
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
125057324 Issued in IL
Legal business name
JOHN H STROGER HOSPITAL OF COOK COUNTY
Practice address
1926 W Harrison St
Medical Center Apartment,#1109
Chicago, IL 60612-3737
Phone
(617) 803-8736
NPI assigned
Sep 11, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Suja Mathew, MD
Title
Program Director
Phone
(312) 864-7229

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 125057324 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1926 W Harrison St
Medical Center Apartment,#1109
Chicago, IL 60612-3737

Mailing address

1926 W Harrison St
Medical Center Apartment,#1109
Chicago, IL 60612-3737
Phone (617) 803-8736

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2010.

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1962719930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W HARRISON ST",
            "address_2": "MEDICAL CENTER APARTMENT,#1109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123737",
            "telephone_number": "617-803-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 W HARRISON ST",
            "address_2": "MEDICAL CENTER APARTMENT,#1109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123737",
            "telephone_number": "617-803-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H STROGER HOSPITAL OF COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125057324",
            "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 11, 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.