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DSH140124E 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
WOODY WINSTON CLINIC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140124E
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
9/1/2015
Termination Date
Termination Reason
4/1/2016
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
650 E. Phoenix Center Drive
Phoenix, IL 60426
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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