| NPI | 1487664561 |
|---|---|
| Doing Business As | PROVIDENT HOSPITAL OF COOK COUNTY |
| Entity Type | Organization |
| Authorized Contact | SCOTT ANDRLE Director Of Managed Care Operations 312-864-4649 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 0004549) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-02-22 |