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DSH140115 THOREK HOSPITAL AND MEDICAL CENTER (Active)
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Main Details
Name
THOREK HOSPITAL AND MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140115
Medicare Provider Number
140115
Additional Details
Current Program Status
Active
Registration Date
9/5/2007
Participating Start Date
1/1/2004
Participating Approval Date
9/5/2007
Last Recertification Date
9/12/2024
Contacts
Authorizing Official
Thorek
Ned Budd, CEO
(773) 975-6705
Primary Contact
Thorek Memorial
John Li, Pharmacy Director
(773) 975-6803
Addresses
Street Address
850 W IRVING PARK ROAD
CHICAGO, IL 60613
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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