Organization
ROSELAND OUTPATIENT CLINIC
Active
Parent organization
COOK COUNTY HEALTH & HOSPITALS SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK COUNTY HEALTH & HOSPITALS SYSTEM
Authorized official
SCOTT ANDRLE (DIRECTOR MANAGED CARE)
(312) 864-4649
Entity
Organization
Contact information
Practice address
200 E 115TH ST FL 2, CHICAGO, IL 60628-5015
(773) 291-2501
Mailing address
200 E 115TH ST FL 2, CHICAGO, IL 60628-5015
(773) 291-2501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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