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Organization
COOK MEDICAL GROUP
Active
Organization
COOK MEDICAL GROUP
Active
Parent organization
COOK COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK COUNTY
Authorized official
SCOTT ANDRLE (DIRECTOR OF MANAGED CARE)
(312) 864-4649
Entity
Organization
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-4649
Mailing address
1900 W POLK ST, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
Other
Enumeration date
04/19/2018
Last updated
01/09/2019
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