BRONZEVILLE HEALTH CENTER – NPI #1558475863
Clinic/Center

BRONZEVILLE HEALTH CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1558475863 to BRONZEVILLE HEALTH CENTER on August 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRONZEVILLE HEALTH CENTER” is a dba name, the actual legal business name for this organization is JOHN H STROGER HOSPITAL OF COOK COUNTY. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was last updated on Nov 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRONZEVILLE HEALTH CENTER below.

NPI Profile for
JOHN H STROGER HOSPITAL OF COOK COUNTY

NPI Number
1558475863
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN H STROGER HOSPITAL OF COOK COUNTY
Doing Business As (dba): BRONZEVILLE HEALTH CENTER
Primary location
467 EAST 31ST STREET
CHICAGO, IL 60616
Phone: (312) 864-0200 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - BRONZEVILLE HEALTH CENTER is subpart of another organization.
Authorized Official
SCOTT ANDRLE
DIRECTOR OF MANAGED CARE
Phone: (312) 864-4649
Updated
Certification Date
Nov 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.