Provident Hospital of Cook County
Provident Hospital of Cook County provides Physician Assistant services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
500 E 51st St Dept OF General Surgery Rm 7058Chicago, IL 60615-2400 Not confirmed with CMS for 18 years — call before visiting
Phone: (312) 572-2664
Fax: (312) 572-2681
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085-001953 (IL) |
|---|
Record details
| NPI number | 1669554507 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aaron Hamb — Medical Director · (312) 572-2370 |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | June 18, 2008 |
| Mailing address | 500 E 51st St, Department Of General Surgery, Room 7058, Chicago, IL 60615-2400 |
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