340B Drug Pricing Program Database
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DSH140124Q JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY (Active)
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Main Details
Name
JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Subdivision Name
Cook County Health at North Riverside (formerly known as CICERO CLINIC)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140124Q
Medicare Provider Number
140124
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2013
Participating Start Date
10/1/2013
Participating Approval Date
8/30/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Cook County Health
Pamela Cassara, Chief Financial Officer
(312) 864-5507
Primary Contact
Cook County Health & Hospitals System
CaTanya Norwood, Senior Director of Pharmacy
(312) 864-2213
Addresses
Street Address
1800 S. Harlem Avenue
Suite A
North Riverside, IL 60546
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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