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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENT HOSPITAL OF COOK COUNTY

Active Organization

PROVIDENT HOSPITAL OF COOK COUNTY is a Physician Assistant organization located in CHICAGO, Illinois. NPI 1669554507 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHICAGO, IL

Registration Details

NPI Number
1669554507
Provider Type
Organization
NPI Issued
Oct 19, 2006 (19.794447854826 yrs)
Last Updated
Jun 18, 2008
License
085-001953 (IL)

Practice Information

Address
500 E 51ST ST
DEPARTMENT OF GENERAL SURGERY, ROOM 7058
CHICAGO, IL, 606152400
Browse IL providers · Browse ZIP 60615
Phone
3125722664
Fax
3125722681
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Organizations in CHICAGO, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.