Provider Demographics
NPI:1932328309
Name:JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Entity Type:Organization
Organization Name:JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF UROLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:SCHUMAN
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:312-864-5233
Mailing Address - Street 1:810 - 73RD ST.
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-4314
Mailing Address - Country:US
Mailing Address - Phone:630-969-6755
Mailing Address - Fax:
Practice Address - Street 1:810 73RD ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-3818
Practice Address - Country:US
Practice Address - Phone:630-969-6755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC41032Medicare UPIN