Healthcare Provider Details

I. General information

NPI: 1962421891
Provider Name (Legal Business Name): JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 S CALIFORNIA AVE
CHICAGO IL
60608-5107
US

IV. Provider business mailing address

222 N COLUMBUS DR APT 609
CHICAGO IL
60601-7814
US

V. Phone/Fax

Practice location:
  • Phone: 312-864-6000
  • Fax:
Mailing address:
  • Phone: 312-228-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT ANDRLE
Title or Position: SR. DIRECTOR OF MANAGE CARE
Credential:
Phone: 312-864-4649