PROVIDENT HOSPITAL OF COOK COUNTY is a medicare defined swing bed unit in Chicago, IL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PROVIDENT HOSPITAL OF COOK COUNTY NPI is 1104842343. The provider is registered as an organization entity type.
The provider's business location address is:
500 E 51ST ST
CHICAGO, IL
ZIP 60615-400
Phone: (312) 572-2000
Fax: (312) 572-2595
The provider's authorized official is Mary Abraham .
The authorized official title is Physician and has the following contact phone number (312) 572-2000.
The CLIA number assigned to this NPI record is 14D0868710 - hospital with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.