COOK COUNTY NPI 1336268143

NPI Information

COOK COUNTY is a health service clinic center in Chicago, IL. COOK COUNTY NPI is 1336268143. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Advocacy Center.

The provider's business location address is:

1240 S DAMEN AVE
CHICAGO, IL
ZIP 60608-122
Phone: (312) 492-3860

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

The CLIA number assigned to this NPI record is 14D1030580 - ambulance 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:

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