JOHN H STROGER HOSPITAL (NPI# 1568777852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568777852 |
| Entity Type | Organization |
| Organization Name | JOHN H STROGER HOSPITAL |
| Practice Address |
627 S Wood St Rm 832a Chicago IL 60612-3821 |
| Mailing Address |
2057 Mark Cir Bolingbrook IL 60490-4916 |
| Practice Telephone | 3123338779 |
| Practice Fax Number | 3128649725 |
| Mailing Telephone | 5108288746 |
| Mailing Fax Number | 3128649725 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | MRS. HERMINA KUNG JEON (INTERNAL MEDICINE/RESIDENT) |
| Authorized Official Telephone | 5108288746 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | ========= | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HMO | 1568777852 | 01 |
| IL | PPO | 1568777852 | 01 |
| IL | 1568777852 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003065863 | John H Stroger Hospital | General Acute Care Hospital | 500 East 51st Street, Chicago, IL 60615 | 2008-09-16 |
| Street Address |
627 S WOOD ST RM 832A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194758722 | Deborah Lynne Edberg | Family Medicine | 627 S Wood St, Chicago, IL 60612-3821 | 2006-07-08 |
| 1487187167 | Kevin James Mcgurk | Student in an Organized Health Care Education/Training Program | 627 S Wood St, #832, Chicago, IL 60612-3821 | 2017-04-10 |
| 1346654613 | Mikala Pacifique | Emergency Medicine | 627 S Wood St, Chicago, IL 60612 | 2014-06-16 |
| 1265872154 | Neil Prakash Bhalerao | Internal Medicine | 627 S Wood St, Rm: 833, Chicago, IL 60612-3821 | 2013-06-25 |
| 1962849521 | Brian James Mcardle | Urology | 627 S Wood St, 8th Floor, Room 832a, Chicago, IL 60612-3821 | 2013-05-22 |
| 1982807814 | Amit J. Joshi | Internal Medicine | 627 S Wood St, Ste 639, Chicago, IL 60612-3821 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615836 | University of Illinois Hospital | Chronic Disease Hospital | 1463 W Winnemac Ave, Unit 2e, Chicago, IL 60640 | 2016-08-28 |
| 1598010456 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2012-07-17 |
| 1740568518 | Rush University Medical Center | Chronic Disease Hospital | 600 S Paulina St, Suite 527, Chicago, IL 60612-3806 | 2011-07-28 |
| 1033497110 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2011-07-24 |
| 1417265612 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-09-22 |
| 1861707846 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-08-13 |
| 1831401520 | University of Chicago Medical Center | Chronic Disease Hospital | 5841 S Maryland Ave, Mc 4028, Chicago, IL 60637-1447 | 2010-07-09 |
| 1881855773 | Saint Joseph Hospital | Chronic Disease Hospital | 2900 N Lake Shore Drive, Chicago, IL 60657 | 2008-06-23 |
| 1104922533 | Jesse Brown Va | Chronic Disease Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-09-15 |
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|---|---|---|---|---|
| 1801428701 | Ingalls Dialysis Center | Chronic Disease Hospital | 2930 Montvale Dr Ste B, Springfield, IL 62704-5376 | 2020-02-08 |
| 1124344874 | Rosalind Franklin University At Chicagomedical School | Chronic Disease Hospital | 113 W Arden Ln, Round Lake, IL 60073-5658 | 2010-04-19 |
| 1235269937 | Andres Cornejo | Chronic Disease Hospital | 215 N Forest Ave, Mt Prospect, IL 60056-2303 | 2007-03-06 |
| 1821346354 | Loyola University Medical Center | Chronic Disease Hospital | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-08-15 |
| 1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
| 1215251566 | Sten V Cantwell | Chronic Disease Hospital | 1401 E State St, Rockford, IL 61104-2315 | 2010-03-16 |
| 1982853255 | Uic | Chronic Disease Hospital | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-09-11 |
| 1306822200 | Memorial Medical Center | Chronic Disease Hospital | 701 N 1st St, Mab 528, Springfield, IL 62781-0001 | 2005-12-22 |
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| 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.