# COOK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOK COUNTY
- **Other names:** Cook County Health at Blue Island
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649390022
- **Legal business name:** COOK COUNTY
- **Authorized official:** SCOTT ANDRLE (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (312) 864-4649

## Contact information

- **Practice address:** 12757 SOUTH WESTERN AVENUE, BLUE ISLAND, IL 60406
- **Practice address phone:** (708) 633-2555
- **Mailing address:** 12757 SOUTH WESTERN AVENUE, BLUE ISLAND, IL 60406
- **Mailing address phone:** (312) 864-4665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 0001743 | IL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 01/25/2022