| Cook County Health at Blue Island | |
|
12757 S. Western Ave Blue Island IL 60406 | |
| (708) 293-8400 | |
| Not Available |
| Full Name | Cook County Health at Blue Island |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 12757 S. Western Ave, Blue Island, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook County Health at Blue Island 1900 W Polk St Ste 220c Chicago IL 60612-3723 | Cook County Health at Blue Island 12757 S. Western Ave Blue Island IL 60406 Ph: (708) 293-8400 |
| NPI Number | 1780205708 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Certification Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780205708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
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