| NPI | 1588781298 |
|---|---|
| Doing Business As | PROVIDENT HOSPITAL OF COOK COUNTY |
| Entity Type | Organization |
| Authorized Contact | CHARLIA ARBO Director Of Pharamcy 312-572-5858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 054.017285) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-02-18 |