# COOK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOK COUNTY
- **Other names:** Oak Forest Urgent/Immediate Care Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649551938
- **Legal business name:** COOK COUNTY
- **Authorized official:** SCOTT ANDRLE (DIRECTOR OF MANAGED CARE OPERATIONS)
- **Authorized official phone:** (312) 864-4649

## Contact information

- **Practice address:** 15900 CICERO AVE, OAK FOREST, IL 60452
- **Practice address phone:** (312) 864-4779
- **Practice address fax:** (312) 864-9877
- **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 |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0005272 | IL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | 0005272 | IL | — |

## Other

- **Enumeration date:** 08/31/2011
- **Last updated:** 02/26/2019