| Cook County | |
|
650 E Phoenix Center Dr Phoenix IL 60426 | |
| (708) 225-9900 | |
| Not Available |
| Full Name | Cook County |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 650 E Phoenix Center Dr, Phoenix, Illinois |
| Authorized Official Name and Position | Sandra Ankebrant (COO) |
| Authorized Official Contact | 3128640719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook County 1110 S Oakley Blvd Room 200 Chicago IL 60612-4218 Ph: (312) 864-4665 | Cook County 650 E Phoenix Center Dr Phoenix IL 60426 Ph: (708) 225-9900 |
| NPI Number | 1336269133 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336269133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0001743 (Illinois) | Primary |
S & T Behavioral Health And Medical Consultants Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 E Phoenix Center Dr, Phoenix, IL 60426 Phone: 630-776-4694 Fax: 630-423-3277 |