Healthcare Provider Details

I. General information

NPI: 1932377694
Provider Name (Legal Business Name): HEKTOEN INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 WEST POLK STREET COOK COUNTY HOSPITAL
CHICAGO IL
60612-9987
US

IV. Provider business mailing address

2100 WEST HARRISON STREET
CHICAGO IL
60612-9987
US

V. Phone/Fax

Practice location:
  • Phone: 312-864-6000
  • Fax:
Mailing address:
  • Phone: 312-948-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DENNIS RONOWSKI
Title or Position: ADMINISTRATOR
Credential: MBA, CPA
Phone: 312-948-2530