Roseland Outpatient Clinic

NPI #1013448257 in Chicago, Illinois

Provider Information

NPI Number: 1013448257
Entity Type: Organization
Organization Name: Roseland Outpatient Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: COOK COUNTY HEALTH & HOSPITALS SYSTEM
Primary Specialty: Community/Behavioral Health
Enumeration Date: Mar 21, 2017
Last Updated: Mar 21, 2017

Practice Location

Address: 200 E 115TH ST FL 2
City: Chicago
State: Illinois
ZIP Code: 60628-5015
Phone: (773) 291-2501

Authorized Official

Name: SCOTT ANDRLE
Title: DIRECTOR MANAGED CARE
Phone: (312) 864-4649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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