Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
MORTON EAST ADOLESCENT HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK COUNTY
Authorized official
SCOTT ANDRLE (DIRECTOR OF MANAGED CARE OPERATIONS)
(312) 864-4649
Entity
Organization
Contact information
Practice address
2423 S AUSTIN BLVD, CICERO, IL 60804-2616
(708) 656-1130
Mailing address
1900 W POLK ST RM 220C, CHICAGO, IL 60612-3723
(312) 864-4649
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0005272
IL
Other
Enumeration date
03/29/2007
Last updated
02/22/2019
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