Cook County

NPI #1457982340 in Oak Forest, Illinois

Provider Information

NPI Number: 1457982340
Entity Type: Organization
Organization Name: Cook County
Subpart: Yes (part of a larger organization)
Parent Organization: COOK COUNTY
Primary Specialty: Family Medicine
Enumeration Date: Jan 29, 2020
Last Updated: Mar 2, 2020

Practice Location

Address: 15900 S. CICERO
City: Oak Forest
State: Illinois
ZIP Code: 60452
Phone: (708) 633-2555

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Individual Providers

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Scott J. Rusco, D.O.	Family Medicine	Oak Forest	AI Deep Dive
DR. Jose Mario R. Flores, MD	Family Medicine	Oak Forest	AI Deep Dive
DR. Frank A. Donatello, D.O.	Family Medicine	Oak Forest	AI Deep Dive
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Organizations

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Pcmc East	Family Medicine	Oak Forest	AI Deep Dive

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