Cook County
NPI #1649390022 in Blue Island, Illinois
Provider Information
- NPI Number
- 1649390022
- Entity Type
- Organization
- Organization Name
- Cook County
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COOK COUNTY
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Jan 25, 2022
Practice Location
- Address
- 12757 SOUTH WESTERN AVENUE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406
- Phone
- (708) 633-2555
Authorized Official
- Name
- SCOTT ANDRLE
- Title
- DIRECTOR OF MANAGED CARE
- Phone
- (312) 864-4649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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