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Contact Information

COOK COUNTY
12757 WESTERN AVE
BLUE ISLAND, IL60406-2155
 Phone: 708-293-8400
 Fax: 708-293-8408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COOK COUNTY

NPI Number 1043238298
LBN Legal business name COOK COUNTY
Authorized official GERVAISE HUNTER-MORRIS - (PHARMACY SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/17/2006
Last updated 08/23/2022 - About 4 years ago
Identifiers
IL License # 054017270
IL Medicaid 355005541070
Other 2023252 PK
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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