Provider Demographics
NPI:1346556222
Name:JOHN H. SROGER, JR. HOSPITAL OF COOK COUNTY
Entity Type:Organization
Organization Name:JOHN H. SROGER, JR. HOSPITAL OF COOK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GENNADIY
Authorized Official - Middle Name:
Authorized Official - Last Name:VORONOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1312-864-1904
Mailing Address - Street 1:1926 W HARRISON ST
Mailing Address - Street 2:APT. 809
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3737
Mailing Address - Country:US
Mailing Address - Phone:312-850-2203
Mailing Address - Fax:312-850-2203
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:FLOOR 5
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-1903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital