340B Drug Pricing Program Database


PROVIDENT HOSPITAL OF COOK COUNTY - information as of 4/27/2025 1:11:29 AM


PROVIDENT HOSPITAL OF COOK COUNTY

ATTENTION PHARMACY DEPARTMENT
500 E 51ST ST
ROOM 2050
CHICAGO, IL 60615-2400



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH140124JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY Disproportionate Share Hospital1901 WEST HARRISON STREET
CHICAGOIL07/01/2013 7/9/2019 2:43 PM
DetailsDSH140124AJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCook County Health at Blue Island Health Center (Formerly OAK FOREST HEALTH CENTER)Disproportionate Share Hospital12757 S Western Ave.
Blue IslandIL07/01/2019 1/17/2020 3:42 PM
DetailsDSH140124AAJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCOOK COUNTY - John H. Stroger, Jr. TelemedicineDisproportionate Share Hospital1901W HARRISON ST
CHICAGOIL07/01/2019 7/9/2019 2:48 PM
DetailsDSH140124ABJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCook County Health at Blue Island Health Center - Specialty Care - Blue Island Specialty CareDisproportionate Share Hospital12757 S. Western Ave.
Blue IslandIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124ACJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Gynecology Tumor Clinic - Gynecology Tumor ClinicDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124ADJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Urology - UrologyDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124AEJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Breast/Surgical Oncology - Surgery OncologyDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124AFJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Cancer Genetics - Cancer GeneticsDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124AGJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Dermatology Pediatrics - Dermatology PediatricsDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124AHJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Psychiatry Oncology - Psychiatry OncologyDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124AJJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Diabetes - DiabetesDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124AKJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Hematology Clinic - Clinical HematologyDisproportionate Share Hospital1950 West Polk Street
ChicagoIL01/01/2024 1/1/2024 12:01 AM
DetailsDSH140124BJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCORE CLINICDisproportionate Share Hospital2020 W Harrison St.
ChicagoIL07/01/2019 7/9/2019 2:49 PM
DetailsDSH140124CJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCHILD ADVOCACY CENTERDisproportionate Share Hospital1240 South Damen Ave
ChicagoIL07/01/201907/01/20217/1/2021 12:01 AM
DetailsDSH140124DJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYMORTON EAST CLINICDisproportionate Share Hospital2423 South Austin Blvd
CiceroIL07/01/2019 7/9/2019 2:50 PM
DetailsDSH140124FJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYWOODLAWN CLINICDisproportionate Share Hospital6337 S. Woodlawn Avenue
ChicagoIL07/01/201907/01/20217/1/2021 12:01 AM
DetailsDSH140124GJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCook County Health at Arlington Heights (formerly VISTA CLINIC)Disproportionate Share Hospital3250 N. Arlington Heights Rd.
Suite 300
Arlington HeightsIL07/01/2019 7/9/2019 2:52 PM
DetailsDSH140124HJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYROBBINS CLINICDisproportionate Share Hospital13450 S. Kedzie Avenue
RobbinsIL07/01/2019 7/9/2019 2:53 PM
DetailsDSH140124JJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYPRIETO CLINICDisproportionate Share Hospital2424 S. Pulaski Road
ChicagoIL07/01/2019 7/9/2019 2:54 PM
DetailsDSH140124KJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYNEAR SOUTH HEALTH CENTERDisproportionate Share Hospital3525 S. Michigan Avenue
ChicagoIL07/01/201907/01/20217/1/2021 12:01 AM
DetailsDSH140124LJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCook County Health at Belmont Cragin (formerly LOGAN SQUARE CLINIC)Disproportionate Share Hospital5501 W. Fullerton Avenue
ChicagoIL07/01/2019 7/9/2019 2:56 PM
DetailsDSH140124NJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCOTTAGE GROVE CLINICDisproportionate Share Hospital1645 Cottage Grove
Ford HeightsIL07/01/2019 7/9/2019 2:57 PM
DetailsDSH140124PJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYENGLEWOOD CLINICDisproportionate Share Hospital1135 W. 69th Street
ChicagoIL07/01/2019 7/9/2019 2:57 PM
DetailsDSH140124QJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCook County Health at North Riverside (formerly known as CICERO CLINIC)Disproportionate Share Hospital1800 S. Harlem Avenue
Suite A
North RiversideIL07/01/2019 7/9/2019 2:58 PM
DetailsDSH140124RJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYAUSTIN CLINICDisproportionate Share Hospital4800 W. Chicago Avenue
ChicagoIL07/01/2019 7/9/2019 2:59 PM
DetailsDSH140124SJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Breast/Cervical ScreeningDisproportionate Share Hospital1950 West Polk Street
CHICAGOIL07/01/2019 7/9/2019 3:00 PM
DetailsDSH140124TJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - EndocrinologyDisproportionate Share Hospital1950 West Polk Street
ChicagoIL07/01/2019 7/9/2019 3:00 PM
DetailsDSH140124UJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Hematology/OncologyDisproportionate Share Hospital1950 West Polk Street
ChicagoIL07/01/2019 7/9/2019 3:01 PM
DetailsDSH140124VJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Infusion CenterDisproportionate Share Hospital1950 West Polk Street
CHICAGOIL07/01/2019 7/9/2019 3:02 PM
DetailsDSH140124WJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - Dermatology/OncologyDisproportionate Share Hospital1950 West Polk Street
CHICAGOIL07/01/2019 7/9/2019 3:03 PM
DetailsDSH140124XJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - OphthalmologyDisproportionate Share Hospital1950 West Polk Street
CHICAGOIL07/01/2019 7/9/2019 3:03 PM
DetailsDSH140124YJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYProfessional Building - General Medicine Clinic (GMC)Disproportionate Share Hospital1950 West Polk Street
CHICAGOIL07/01/2019 7/9/2019 3:04 PM
DetailsDSH140124ZJOHN H. STROGER, JR. HOSPITAL OF COOK COUNTYCOOK COUNTY HEALTH PROFESSIONAL BLD - Professional Building - Oral Health (Dental)Disproportionate Share Hospital1950 W POLK ST
CHICAGOIL07/01/2019 7/9/2019 3:05 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  PROVIDENT HOSPITAL OF COOK COUNTY ATTENTION PHARMACY DEPARTMENT 500 E 51ST ST ROOM 2050 CHICAGO, IL 60615-24002/14/2020 3:55 PM
AddressesPharmacy AddressInsert  PROVIDENT HOSPITAL OF COOK COUNTY ATTENTION PHARMACY DEPARTMENT 500 E. 51ST ST. ROOM 2050 CHICAGO, IL 60615-240011/19/2018 3:08 PM
DetailsNameUpdate PROVIDENT HOSP OF COOK COUNTYPROVIDENT HOSPITAL OF COOK COUNTY11/19/2018 3:08 PM
AddressesPharmacy AddressInsert  PROVIDENT HOSP OF COOK COUNTY 430 E. 50TH PLACE CHICAGO, IL 60615-240011/14/2018 3:11 PM
AddressesPharmacy AddressInsert  PROVIDENT HOSP OF COOK COUNTY 430 E. 50TH PLACE CHICAGO, IL 606159/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:20 PM
DetailsIs DeletedInsert  False3/28/2013 4:20 PM
AddressesPharmacy AddressInsert  PROVIDENT HOSP OF COOK COUNTY 430 E. 50TH PLACE CHICAGO, IL 606153/28/2013 4:20 PM
DetailsNameInsert  PROVIDENT HOSP OF COOK COUNTY3/28/2013 4:20 PM