Provider Demographics
NPI:1417195876
Name:COOK COUNTY HOSPITAL
Entity Type:Organization
Organization Name:COOK COUNTY HOSPITAL
Other - Org Name:STROGER HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:GENADY
Authorized Official - Middle Name:
Authorized Official - Last Name:VORNOROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-864-6000
Mailing Address - Street 1:1900 W POLK ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3723
Mailing Address - Country:US
Mailing Address - Phone:312-864-6000
Mailing Address - Fax:
Practice Address - Street 1:1900 W POLK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007377041.334519282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital