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DSH140124C 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
CHILD ADVOCACY CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140124C
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
9/2/2020
Termination Date
Termination Reason
7/1/2021
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
1240 South Damen Ave
Chicago, IL 60608
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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