Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
Cook County Health Professional Building
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
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-4649
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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