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DSH140124AF 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
Professional Building - Cancer Genetics - Cancer Genetics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140124AF
Medicare Provider Number
140124
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/26/2022
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
1950 West Polk 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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