# COOK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOK COUNTY
- **Other names:** Central Campus Specialty Care Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245350040
- **Legal business name:** COOK COUNTY
- **Authorized official:** MR. SCOTT ANDRLE (DIRECTOR MANAGED CARE)
- **Authorized official phone:** (312) 864-4649

## Contact information

- **Practice address:** 1901 W HARRISON ST, CHICAGO, IL 60612-3714
- **Practice address phone:** (312) 864-4649
- **Mailing address:** 1900 W POLK ST STE 220C, CHICAGO, IL 60612-3723
- **Mailing address phone:** (312) 864-4649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 0005272 | IL | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 06/06/2022