Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
Dr. Jorge Prieto 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
2424 S PULASKI RD, CHICAGO, IL 60623-3718
(773) 521-0750
Mailing address
1900 W POLK ST RM 220C, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
03/02/2020
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