Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
Cook County Health at Blue Island
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK COUNTY
Authorized official
SCOTT ANDRLE (DIRECTOR OF MANAGED OPERATIONS)
(312) 864-4649
Entity
Organization
Contact information
Practice address
12757 SOUTH WESTERN AVENUE, BLUE ISLAND, IL 60406
(312) 864-0200
Mailing address
1900 W POLK ST STE 220C, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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