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NPI Code Detail

MEDICARE: JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY

MEDICARE: JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1962421891
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY
Provider Business Mailing Address
First Line : 222 N COLUMBUS DR APT 609
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7814
Country : US
Telephone Number : 312-228-0131
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-5107
Country : US
Telephone Number : 312-864-6000
Fax Number :
Authorized Official
Title or Position : SR. DIRECTOR OF MANAGE CARE
Name : MR. SCOTT ANDRLE
Credential :
Telephone Number : 312-864-4649
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/23/2025

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