COOK COUNTY NPI 1760502439

NPI Information

  • NPI: 1760502439
  • Provider Name: COOK COUNTY
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: COTTAGE GROVE HEALTH CENTER
  • CLIA Number: 14D0724251
  • Address: 1645 COTTAGE GROVE AVE
    FORD HEIGHTS, IL
    ZIP 60411
  • Phone: (708) 753-5800

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NPI Details

COOK COUNTY is a primary care clinic center in Ford Heights, IL. COOK COUNTY NPI is 1760502439. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottage Grove Health Center.

The provider's business location address is:

1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL
ZIP 60411-818
Phone: (708) 753-5800

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 14D0724251 - 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 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
1261QP2300XClinic/CenterPrimary Care0001743ILLINOISYes

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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