COOK COUNTY – NPI #1780205708
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

COOK COUNTY is a provider located in BLUE ISLAND, IL. NPPES has assigned the NPI number 1780205708 to COOK COUNTY on April 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

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 COOK COUNTY below.

NPI Profile for
COOK COUNTY

NPI Number
1780205708
Enumeration Date

(more than 6 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
Primary location
12757 S. WESTERN AVE
BLUE ISLAND, IL 60406
Phone: (708) 293-8400 Fax:
Mailing address
1900 W POLK ST STE 220C
CHICAGO, IL 60612-3723
Phone: Fax:
Organization Subpart
Yes - COOK COUNTY is subpart of another organization.
Authorized Official
SCOTT ANDRLE
DIRECTOR OF MANAGED CARE
Phone: (312) 864-4649
Updated
Certification Date
Apr 30, 2020

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
207QG0300X
- Family Medicine / Geriatric Medicine (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.