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DSH140124M JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY (Terminated)
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Main Details
Name
JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Subdivision Name
FANTUS HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140124M
Medicare Provider Number
140124
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2013
Participating Start Date
10/1/2013
Participating Approval Date
8/30/2013
Last Recertification Date
9/6/2016
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
Cook County Health
Andrea Maureen Gibson, Interim Chief Business Officer
(312) 864-0953
Primary Contact
Cook County Health & Hospitals System
CaTanya Norwood, Senior Director of Pharmacy
(312) 864-2213
Addresses
Street Address
1901 West Harrison Street
Chicago, IL 60612
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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