COOK COUNTY NPI 1104946904

NPI Information

NPI: 1104946904
Provider Name: COOK COUNTY

Doing Business As: MORTON EAST ADOLESCENT HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2423 S AUSTIN BLVD
CICERO, IL
ZIP 60804
Phone: (708) 656-1130
Get Directions

COOK COUNTY is a primary care clinic center in Cicero, IL. COOK COUNTY NPI is 1104946904. The provider is registered as an organization entity type.
The provider Is Doing Business As Morton East Adolescent Health Center.

The provider's business location address is:

2423 S AUSTIN BLVD
CICERO, IL
ZIP 60804-616
Phone: (708) 656-1130

The provider's authorized official is Scott Andrle .
The authorized official title is Director Of Managed Care Operations and has the following contact phone number (312) 864-4649.

The CLIA number assigned to this NPI record is 14D0990014 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/29/2007 and was last updated on 2/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	0005272	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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