COOK COUNTY NPI 1689794489

NPI Information

  • NPI: 1689794489
  • Provider Name: COOK COUNTY
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: BELMONT CRAGIN HEALTH CENTER
  • CLIA Number: 14D1029862
  • Address: 5501 W. FULLERTON AVE
    CHICAGO, IL
    ZIP 60639
  • Phone: (312) 395-7400

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NPI Details

COOK COUNTY is a primary care clinic center in Chicago, IL. COOK COUNTY NPI is 1689794489. The provider is registered as an organization entity type.
The provider Is Doing Business As Belmont Cragin Health Center.

The provider's business location address is:

5501 W. FULLERTON AVE
CHICAGO, IL
ZIP 60639
Phone: (312) 395-7400

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 14D1029862 - community clinic 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 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
1261QP2300XClinic/CenterPrimary Care0005272ILLINOISYes

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: 11/21/2025

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