BELMONT CRAGIN HEALTH CENTER – NPI #1689794489
Clinic/Center

BELMONT CRAGIN HEALTH CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1689794489 to BELMONT CRAGIN HEALTH CENTER on March 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BELMONT CRAGIN HEALTH CENTER” is a dba name, the actual legal business name for this organization is 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 previously updated about 4 years ago on Jan 25, 2022. 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 BELMONT CRAGIN HEALTH CENTER below.

NPI Profile for
COOK COUNTY

NPI Number
1689794489
Enumeration Date

(more than 19 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
COOK COUNTY
Doing Business As (dba): BELMONT CRAGIN HEALTH CENTER
Primary location
5501 W. FULLERTON AVE
CHICAGO, IL 60639
Phone: (312) 395-7400 Fax:
Mailing address
1900 W POLK ST RM 220C
CHICAGO, IL 60612-3723
Phone: (312) 864-4649 Fax:
Organization Subpart
Yes - BELMONT CRAGIN HEALTH CENTER is subpart of another organization.
Authorized Official
SCOTT ANDRLE
DIRECTOR OF MANAGED CARE OPERATIONS
Phone: (312) 864-4649
Updated
Certification Date
Jan 25, 2022

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)		 IL 0005272

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.