Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
Ruth M Rothstein CORE 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
2020 W HARRISON ST, CHICAGO, IL 60612-3741
(312) 864-4665
Mailing address
1900 W POLK ST RM 220C, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
0005272
IL
Other
Enumeration date
04/03/2007
Last updated
01/25/2022
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