COOK COUNTY NPI 1649390022

NPI Information

NPI: 1649390022
Provider Name: COOK COUNTY

Doing Business As: COOK COUNTY HEALTH AT BLUE ISLAND

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
12757 SOUTH WESTERN AVENUE
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 633-2555
Get Directions

COOK COUNTY is a multi-specialty clinic center in Blue Island, IL. COOK COUNTY NPI is 1649390022. The provider is registered as an organization entity type.
The provider Is Doing Business As Cook County Health At Blue Island.

The provider's business location address is:

12757 SOUTH WESTERN AVENUE
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 633-2555

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

The enumeration date for this NPI number is 3/30/2007 and was last updated on 1/25/2022.

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	261QM1300X	Clinic/Center	Multi-Specialty	0001743	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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