COOK COUNTY (NPI# 1861512667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861512667 |
| Entity Type | Organization |
| Organization Name | COOK COUNTY |
| Other Organization Name | JORGE PRIETO HEALTH CENTER |
| Practice Address |
2424 S Pulaski Rd Chicago IL 60623-3718 |
| Mailing Address |
1900 W Polk St Rm 220c Chicago IL 60612-3723 |
| Practice Telephone | 7735210750 |
| 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 |
| Other Name | Type Code |
|---|---|
| JORGE PRIETO HEALTH CENTER | Doing Business As Name - Organization |
| 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 |
| 1295855096 | Cook County | Clinic/Center | 1135 W 69th St, Chicago, IL 60621-1147 | 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 |
2424 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073131926 | Carolyn Ann Condiff | Dental Hygienist | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2020-07-08 |
| 1609407691 | Cook County | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2020-01-29 |
| 1467907444 | Natividad Calixto | Social Worker | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2016-08-19 |
| 1124491873 | Alexandra M Reyes | Social Worker | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2015-11-03 |
| 1629383492 | Sijuwola Olayinka Ajinwun | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2010-08-17 |
| 1679885529 | Jessica Barreto | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2010-07-08 |
| 1669649521 | Vimarie Rodriguez | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2008-05-09 |
| 1336358175 | James Gerard Donahue | Counselor | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-05-21 |
| 1174645568 | Robert James Walsh | Physician Assistant | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-04-04 |
| 1417077512 | Kristine M. Healy | Physician Assistant | 2424 S Pulaski Rd, Dr. Jorge Prieto Family Health Center, Chicago, IL 60623-3718 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| 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.