Provider Demographics
NPI:1558475863
Name:JOHN H STROGER HOSPITAL OF COOK COUNTY
Entity Type:Organization
Organization Name:JOHN H STROGER HOSPITAL OF COOK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING
Authorized Official - Prefix:
Authorized Official - First Name:BOONMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNPRAPAPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-864-5132
Mailing Address - Street 1:10 S.308 BIRNAM TRL
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6073
Mailing Address - Country:US
Mailing Address - Phone:630-920-8428
Mailing Address - Fax:312-864-9755
Practice Address - Street 1:10S308 BIRNAM TRL
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-6073
Practice Address - Country:US
Practice Address - Phone:630-920-8428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC03000Medicare UPIN