Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
Oak Forest Urgent/Immediate Care Clinic
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
15900 CICERO AVE, OAK FOREST, IL 60452
(312) 864-4779
(312) 864-9877
Mailing address
1900 W POLK ST STE 220C, CHICAGO, IL 60612-3723
(312) 864-4649
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0005272
IL
261QU0200X
Urgent Care Clinic/Center
0005272
IL
Other
Enumeration date
08/31/2011
Last updated
02/26/2019
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