Cook County
Cook County is a Geriatric Medicine (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: (708) 293-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|
Record details
| NPI number | 1780205708 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cook County |
| Authorized official | Scott Andrle — Director Of Managed Care · (312) 864-4649 |
| Other names | Cook County Health At Blue Island |
| NPI enumerated | April 30, 2020 |
| Last updated in NPPES | April 30, 2020 |
| Certification date | April 30, 2020 |
| Mailing address | 1900 W Polk St Ste 220c, Chicago, IL 60612-3723 |