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Contact Information

COOK COUNTY
12757 S. WESTERN AVE
BLUE ISLAND, IL60406
 Phone: 708-293-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for COOK COUNTY

NPI # 1780205708
LBN Legal business name COOK COUNTY
Authorized official SCOTT ANDRLE - (DIRECTOR OF MANAGED CARE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/30/2020
Last updated 04/30/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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