Provider Demographics
NPI:1700146644
Name:STROGER HOSPITAL
Entity Type:Organization
Organization Name:STROGER HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SYSTEM DIRECTOR, CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCHSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-864-0917
Mailing Address - Street 1:7150 W ARMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60707-3816
Mailing Address - Country:US
Mailing Address - Phone:773-804-0046
Mailing Address - Fax:
Practice Address - Street 1:1900 W POLK ST STE 755
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:312-864-7245
Practice Address - Fax:312-864-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126207282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital