Cook County
Cook County is a Family Medicine Physician in Blue Island, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
12757 S Western AveBlue Island, IL 60406
Phone: (312) 864-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1700400744 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cook County |
| Authorized official | Scott Andrle — Director Of Managed Operations · (312) 864-4649 |
| Other names | Cook County Health At Blue Island |
| NPI enumerated | June 5, 2020 |
| Last updated in NPPES | June 5, 2020 |
| Certification date | June 5, 2020 |
| Mailing address | 1900 W Polk St Ste 220c, Chicago, IL 60612-3723 |
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Dr. Theodore G James, MD
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