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PROVIDENT HOSPITAL OF COOK COUNTY
DSH140124 JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
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Covered Entity Details
Entity Name
JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140124
Entity Address
1901 WEST HARRISON STREET
CHICAGO, IL 60612
Medicare Provider Number
140124
Participating Start Date
1/1/1994
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
PROVIDENT HOSPITAL OF COOK COUNTY
Pharmacy Address
ATTENTION PHARMACY DEPARTMENT
500 E 51ST ST
ROOM 2050
CHICAGO, IL 60615-2400
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
7/1/2019
Contract Comments
Contacts
Covered Entity Signing Official
JOHN MORALES, CFO
(312) 864-4680
Contract Pharmacy Representative
Cook County Health & Hospitals System
CaTanya Norwood, Senior Director of Pharmacy
(312) 864-2213
Signed By Date
4/15/2013
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