COOK COUNTY (NPI# 1295855096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295855096 |
| Entity Type | Organization |
| Organization Name | COOK COUNTY |
| Practice Address |
1135 W 69th St Chicago IL 60621-1147 |
| Mailing Address |
1900 W Polk St Rm 220c Chicago IL 60612-3723 |
| Practice Telephone | 7734835011 |
| Mailing Telephone | 3128644649 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-02-22 |
| Authorized Official Name | SCOTT ANDRLE (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Telephone | 3128644649 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0005272 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1841500956 | Cook County | Pharmacy | 1901 W Harrison St Rm B178, Chicago, IL 60612-3714 | 2010-10-08 |
| 1770892135 | Cook County | Pharmacy | 1901 W Harrison St Rm 1230a, Chicago, IL 60612-3714 | 2010-10-04 |
| 1982724894 | Cook County | Clinic/Center | 450 E 51st St, Chicago, IL 60615 | 2007-04-02 |
| 1346360682 | Cook County | General Acute Care Hospital | 15900 Cicero, Oak Forest, IL 60452 | 2007-03-30 |
| 1194845495 | Cook County | Clinic/Center | 4859 S Wabash Ave, Chicago, IL 60615-1008 | 2007-03-30 |
| 1649390022 | Cook County | Clinic/Center | 12757 South Western Avenue, Blue Island, IL 60406 | 2007-03-30 |
| 1861512667 | Cook County | Clinic/Center | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COOK COUNTY APARTMENTS LLC | 1515 Sw 5th Ave Ste 600, Portland, OR 97201 |
| System for Award Management (SAM) Entities | COOK COUNTY BLACK CHAMBER OF COMMERCE CORPORATION | 732 N Spaulding Ste 1r, Chicago, IL 60624-1541 |
| System for Award Management (SAM) Entities | COOK COUNTY BOARD OF HEALTH | 204 N Parish, Adel, GA 31620-2327 |
| System for Award Management (SAM) Entities | COOK COUNTY DEPT OF PUBLIC HEALTH | 15900 S Cicero Ave, Oak Forest, IL 60452 |
| System for Award Management (SAM) Entities | COOK COUNTY ELEMENTARY SCHOOL | 12300 S Greenwood Ave, Blue Island, IL 60406-1558 |
| System for Award Management (SAM) Entities | COOK COUNTY HEALTH | 1950 W Polk St, Chicago, IL 60612-3723 |
| System for Award Management (SAM) Entities | COOK COUNTY J T D C FOUNDATION | 1538 W Jackson Blvd, Chicago, IL 60607-5304 |
| System for Award Management (SAM) Entities | COOK COUNTY SOUTHLAND JUVENILE JUSTICE COUNCIL | 336 Forest Blvd, Park Forest, IL 60466-2005 |
| System for Award Management (SAM) Entities | COOK COUNTY SUBURBAN REDEVELOPMENT, LLC | 175 West Jackson Blvd, Chicago, IL 60604-2615 |
| Street Address |
1135 W 69TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922639913 | Cook County | Family Medicine | 1135 W 69th St, Chicago, IL 60621-1147 | 2020-01-29 |
| 1285294835 | Tyler J Mccauley | Physician Assistant | 1135 W 69th St, Chicago, IL 60621-1147 | 2019-06-17 |
| 1427411404 | Shani Natasha Hopwood | Student in an Organized Health Care Education/Training Program | 1135 W 69th St, Chicago, IL 60621-1147 | 2016-03-29 |
| 1629442686 | Sylvia P. White I | Counselor | 1135 W 69th St, Chicago, IL 60621-1147 | 2015-11-13 |
| 1518272384 | Mariam Alber Kirollos | Family Medicine | 1135 W 69th St, Chicago, IL 60621-1147 | 2010-08-17 |
| 1194037044 | Mayuri Dasari | Family Medicine | 1135 W 69th St, Chicago, IL 60621-1147 | 2010-07-08 |
| 1285946129 | Priscilla Auguston | Family Medicine | 1135 W 69th St, Chicago, IL 60621-1147 | 2010-07-08 |
| 1205067162 | Awais Azmat | Family Medicine | 1135 W 69th St, Chicago, IL 60621-1147 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
| 1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
| 1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
| 1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.