| Cook County Health Professional Building | |
|
1950 W Polk St Chicago IL 60612-3723 | |
| (312) 864-6000 | |
| Not Available |
| Full Name | Cook County Health Professional Building |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1950 W Polk St, Chicago, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook County Health Professional Building 1900 W Polk St Chicago IL 60612-3723 Ph: (312) 864-4649 | Cook County Health Professional Building 1950 W Polk St Chicago IL 60612-3723 Ph: (312) 864-6000 |
| NPI Number | 1386110674 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386110674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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