# COOK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOK COUNTY
- **Other names:** Provident Hospital of Cook County
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487664561
- **Legal business name:** COOK COUNTY
- **Authorized official:** MR. SCOTT ANDRLE (DIRECTOR OF MANAGED CARE OPERATIONS)
- **Authorized official phone:** (312) 864-4649

## Contact information

- **Practice address:** 500 EAST 51ST STREET, CHICAGO, IL 60615-2494
- **Practice address phone:** (312) 572-1200
- **Practice address fax:** (312) 572-1294
- **Mailing address:** 500 EAST 51ST STREET, CHICAGO, IL 60615-2494
- **Mailing address phone:** (312) 572-1200
- **Mailing address fax:** (312) 572-1294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0004549 | IL | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 05/13/2025