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Organization
COOK COUNTY
Active
Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
Cook County Health at Blue Island
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
12757 SOUTH WESTERN AVENUE, BLUE ISLAND, IL 60406
(708) 633-2555
Mailing address
12757 SOUTH WESTERN AVENUE, BLUE ISLAND, IL 60406
(312) 864-4665
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
0001743
IL
Other
Enumeration date
03/30/2007
Last updated
01/25/2022
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