Cook County
NPI #1780205708 in Blue Island, Illinois
Provider Information
- NPI Number
- 1780205708
- Entity Type
- Organization
- Organization Name
- Cook County
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COOK COUNTY
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Apr 30, 2020
- Last Updated
- Apr 30, 2020
Practice Location
- Address
- 12757 S. WESTERN AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406
- Phone
- (708) 293-8400
Authorized Official
- Name
- SCOTT ANDRLE
- Title
- DIRECTOR OF MANAGED CARE
- Phone
- (312) 864-4649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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