Cook County
Cook County is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2840 W Fullerton AveChicago, IL 60647-2938
Phone: (312) 395-7400
Show map & directions
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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 | 1750912648 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cook County |
| Authorized official | Scott Andrle — Director Of Managed Care Operations · (312) 864-4649 |
| Other names | Logan Square Health Center (Ffs); Logan Square Health Center (Ffs) |
| NPI enumerated | January 29, 2020 |
| Last updated in NPPES | March 2, 2020 |
| Certification date | March 2, 2020 |
| Mailing address | 1900 W Polk St Rm 220c, Chicago, IL 60612-3723 |
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