Cook County

NPI #1841500956 in Chicago, Illinois

Provider Information

NPI Number: 1841500956
Entity Type: Organization
Organization Name: Cook County
Primary Specialty: Pharmacy
Enumeration Date: Oct 8, 2010
Last Updated: Jul 20, 2015

Practice Location

Address: 1901 W HARRISON ST RM B178
City: Chicago
State: Illinois
ZIP Code: 60612-3714
Phone: (312) 864-1625

Authorized Official

Name: JOHN JAY SHANNON, M.D.
Title: CHIEF EXECUTIVE OFFICER
Phone: (312) 864-6820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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