PROVIDENT HOSPITAL OF COOK COUNTY (NPI# 1164522447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164522447 |
| Entity Type | Organization |
| Organization Name | PROVIDENT HOSPITAL OF COOK COUNTY |
| Practice Address |
500 E 51st St Chicago IL 60615-2400 |
| Mailing Address |
400 Village Cir Unit 110 Willow Springs IL 60480-1802 |
| Practice Telephone | 3125721202 |
| Mailing Telephone | 7088391833 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAMELA THOMAS - HALL (CFO) |
| Authorized Official Telephone | 3125721202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669554507 | Provident Hospital of Cook County | Physician Assistant | 500 E 51st St, Department of General Surgery, Room 7058, Chicago, IL 60615-2400 | 2006-10-19 |
| 1104842343 | Provident Hospital of Cook County | Medicare Defined Swing Bed Unit | 500 E 51st St, Chicago, IL 60615-2400 | 2006-07-14 |
| Street Address |
500 E 51ST ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919061 | Clyniece Lois Watson | Pediatrics | 500 E 51st St, Department of Pediatrics, Chicago, IL 60615-2400 | 2006-02-06 |
| 1598379430 | Chidinma Nwokocha | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2020-09-08 |
| 1235760224 | Cook County | Family Medicine | 500 E 51st St, Chicago, IL 60615-2400 | 2020-01-29 |
| 1013489814 | Margaret Hennessy | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2018-12-19 |
| 1477021913 | Cook County | Clinic/Center | 500 E 51st St, Chicago, IL 60615-2400 | 2018-11-02 |
| 1487135208 | Dianna Denise Hilson | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2018-08-29 |
| 1497271571 | Colleen Minnie Hallinan | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2017-08-20 |
| 1184171159 | Charlia Arbo | Pharmacist | 500 E 51st St, 430 East 50th Place, Chicago, IL 60615-2400 | 2016-09-07 |
| 1205204542 | Bria Jena Mays | Occupational Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2015-09-03 |
| 1891194643 | Mark Lower | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2014-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| 1144694639 | Danielle Marie Valentino | General Acute Care Hospital | 5841 S Maryland Ave # Mc6065, Chicago, IL 60637-1443 | 2015-11-20 |
| 1467830745 | Mcgaw Medical Center of Nu | General Acute Care Hospital | 737 N Michigan Ave, Ste 1600 Nmh, Cardiovascular Imaging, Chicago, IL 60611 | 2015-05-07 |
| 1467846022 | Andres Maldonad | General Acute Care Hospital | 6019 S Ingleside Ave, Apartment 902, Chicago, IL 60637-2600 | 2015-03-22 |
| 1093117921 | Sj Termini, Dds PC | General Acute Care Hospital | 1074 W Taylor St # 207, Chicago, IL 60607-4336 | 2014-09-23 |
| 1982014841 | None | General Acute Care Hospital | 2323 W 114th St, Chicago, IL 60643-4108 | 2014-04-30 |
| 1770905804 | Esad Zisko | General Acute Care Hospital | 2441 W Farragut Ave Apt 3b, Chicago, IL 60625-2477 | 2014-01-08 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on PROVIDENT HOSPITAL OF COOK COUNTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.