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PROVIDENT HOSPITAL OF COOK COUNTY
NPI 1104842343
Medicare Defined Swing Bed Unit in Chicago, IL

Active since July 14, 2006CLIA Certified · 2 labs
500 E 51ST ST, CHICAGO, IL 60615(312) 572-2000(312) 572-2595 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Provident Hospital Of Cook County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENT HOSPITAL OF COOK COUNTY (NPI 1104842343) is a healthcare organization registered as a medicare defined swing bed unit in Chicago, Illinois and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Mary Abraham, Physician, as its authorized official.

NPPES Registry Identity

NPI1104842343
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NamePROVIDENT HOSPITAL OF COOK COUNTY
Location Address500 E 51ST STChicago, IL 60615-2400
Mailing Address7517 Florence AveDowners Grove, IL 60516-4482 · (630) 271-1270 · Fax (630) 271-1270
Phone(312) 572-2000
Fax(312) 572-2595
Organization SubpartNo
Authorized OfficialMary AbrahamPhysician · (312) 572-2000
Enumeration DateJuly 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104842343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in IL · 03681558
Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

500 E 51ST ST, Chicago, IL 60615
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0868710

Provident Hospital Of Cook County H H S · Chicago, IL
Active · expires Nov 30, 2027
CLIA Number14D0868710
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Victoria M. Alagiozian-Angelova
Laboratory Phone(312) 864-7538
Laboratory LocationProvident Hospital Of Cook County H H S500 East 51st Street, Chicago, IL 60615
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 14D0879015

Provident Hospital Of Cook County · Chicago, IL
Active · expires Nov 8, 2027
CLIA Number14D0879015
Laboratory TypeHospital
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorFeinan Shi
Laboratory Phone(312) 572-2152
Laboratory LocationProvident Hospital Of Cook County500 E 51st St, Chicago, IL 60615
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Provident Hospital Of Chicago (CMS certification number 140300), from CMS Care Compare.

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County · (312) 572-2000
Emergency services Meaningful use of EHRs

Complications & Deaths 10

Abdominopelvic accidental puncture or laceration rate
Cases too small to report
Perioperative pulmonary embolism or deep vein thrombosis rate
Cases too small to report
Postoperative hemorrhage or hematoma rate
Cases too small to report
In-hospital fall-associated fracture rate
0.33 No different than national
Iatrogenic pneumothorax rate
0.25 No different than national
Pressure ulcer rate
0.62 No different than national

Infections 1

Clostridium Difficile (C.Diff)
2 observed cases · 3.353 predicted · 6,999 patient days
0.596 No different than national

Unplanned Hospital Visits 7

Pneumonia (PN) 30-Day Readmission Rate
Cases too small to report
Rate of readmission after discharge from hospital (hospital-wide)
36 No different than national
Heart failure (HF) 30-Day Readmission Rate
Cases too small to report
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
Cases too small to report
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
Cases too small to report
Hospital return days for pneumonia patients
Cases too small to report

Timely & Effective Care 13

Intensive Care Unit Venous Thromboembolism Prophylaxis
86%
Venous Thromboembolism Prophylaxis
91%
Severe Sepsis 6-Hour Bundle
27%
Severe Sepsis 3-Hour Bundle
74%
Appropriate care for severe sepsis and septic shock
46%
Safe Use of Opioids - Concurrent Prescribing
5%

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLY LOIS JOHNSON M.D.
Anesthesiology
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2680
DR. RALPH SOLOMON M.D.
Anesthesiology
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-1202
MARGARET HENNESSY
Physical Therapist
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2000
SHEBA AMPALLOOR M.D.
Emergency Medicine
500 E 51ST ST, PROVIDENT HOSPITAL OF COOK COUNTY
CHICAGO, IL 60615
Cook County (312) 572-1200
ARTHUR H MOSWIN M.D.
Internal Medicine
500 E 51ST ST, 7TH FLOOR
CHICAGO, IL 60615
Cook County (312) 791-3455
NANCY M ANGEL P.T.
Physical Therapist
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2194
MARK DOUGLAS KRAUSE M.D.
Anesthesiology
500 E 51ST ST, SUITE 7047
CHICAGO, IL 60615
Cook County (312) 572-2678
DR. CHARLES EDOIGIAWERIE M.D.
Family Medicine
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provident Hospital Of Cook County's NPI number?

The NPI number for Provident Hospital Of Cook County is 1104842343. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Provident Hospital Of Cook County located?

Provident Hospital Of Cook County is located at 500 E 51st St, Chicago, IL 60615. The listed phone number is (312) 572-2000.

What is Provident Hospital Of Cook County's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Provident Hospital Of Cook County hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Provident Hospital Of Cook County a Medicare-certified hospital?

Yes. Provident Hospital Of Chicago is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.

When was this NPI record last updated?

The NPPES record for Provident Hospital Of Cook County was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.