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General NPI Number Information
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NPI Number | 1962421891
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Entity Type | Organization
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Legal Business Name | JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/23/2025
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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 | 60608-5107
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 222 N COLUMBUS DR APT 609
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City | CHICAGO
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State | IL
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Zip | 60601-7814
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Country | US
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Telephone | 312-228-0131
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR OF MANAGE CARE
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Name | MR. SCOTT ANDRLE
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Credential |
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Telephone | 312-864-4649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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