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General NPI Number Information
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NPI Number | 1093258246
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Entity Type | Organization
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Legal Business Name | JOHN H STROGER HOSPITAL OF COOK COUNTY
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 2800 S CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 773-674-4970
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Fax |
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Provider Business Mailing Address
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Address Line | 732 S FINANCIAL PL UNIT 208
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City | CHICAGO
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State | IL
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Zip | 60605-1038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAY SHANNON
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Credential |
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Telephone | 312-864-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 070019034
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License Number State | IL
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