COOK COUNTY (NPI# 1578170221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578170221 |
| Entity Type | Organization |
| Organization Name | COOK COUNTY |
| Other Organization Name | PROVIDENT DIALYSIS CENTER |
| Practice Address |
430 East 51st Pl Chicago IL 60615 |
| Practice Telephone | 3128640200 |
| Mailing Telephone | 3128640200 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | SCOTT ANDRLE (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 3128644649 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472R0900X |
Technician, Other Specialization: Renal Dialysis |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Provident Dialysis Center | Doing Business As Name - Organization |
| Provident Hospital of Cook County Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1841500956 | Cook County | Pharmacy | 1901 W Harrison St Rm B178, Chicago, IL 60612-3714 | 2010-10-08 |
| 1770892135 | Cook County | Pharmacy | 1901 W Harrison St Rm 1230a, Chicago, IL 60612-3714 | 2010-10-04 |
| 1982724894 | Cook County | Clinic/Center | 450 E 51st St, Chicago, IL 60615 | 2007-04-02 |
| 1346360682 | Cook County | General Acute Care Hospital | 15900 Cicero, Oak Forest, IL 60452 | 2007-03-30 |
| 1194845495 | Cook County | Clinic/Center | 4859 S Wabash Ave, Chicago, IL 60615-1008 | 2007-03-30 |
| 1649390022 | Cook County | Clinic/Center | 12757 South Western Avenue, Blue Island, IL 60406 | 2007-03-30 |
| 1295855096 | Cook County | Clinic/Center | 1135 W 69th St, Chicago, IL 60621-1147 | 2007-03-29 |
| 1861512667 | Cook County | Clinic/Center | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COOK COUNTY APARTMENTS LLC | 1515 Sw 5th Ave Ste 600, Portland, OR 97201 |
| System for Award Management (SAM) Entities | COOK COUNTY BLACK CHAMBER OF COMMERCE CORPORATION | 732 N Spaulding Ste 1r, Chicago, IL 60624-1541 |
| System for Award Management (SAM) Entities | COOK COUNTY BOARD OF HEALTH | 204 N Parish, Adel, GA 31620-2327 |
| System for Award Management (SAM) Entities | COOK COUNTY DEPT OF PUBLIC HEALTH | 15900 S Cicero Ave, Oak Forest, IL 60452 |
| System for Award Management (SAM) Entities | COOK COUNTY ELEMENTARY SCHOOL | 12300 S Greenwood Ave, Blue Island, IL 60406-1558 |
| System for Award Management (SAM) Entities | COOK COUNTY HEALTH | 1950 W Polk St, Chicago, IL 60612-3723 |
| System for Award Management (SAM) Entities | COOK COUNTY J T D C FOUNDATION | 1538 W Jackson Blvd, Chicago, IL 60607-5304 |
| System for Award Management (SAM) Entities | COOK COUNTY SOUTHLAND JUVENILE JUSTICE COUNCIL | 336 Forest Blvd, Park Forest, IL 60466-2005 |
| System for Award Management (SAM) Entities | COOK COUNTY SUBURBAN REDEVELOPMENT, LLC | 175 West Jackson Blvd, Chicago, IL 60604-2615 |
| Street Address |
430 EAST 51ST PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| 1326598319 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1346 E 53rd St., Chicago, IL 60615 | 2016-10-13 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 2472R0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | Renal Dialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558881615 | Franklin Mays | Technician, Other | 1627 N Meade Ave, Chicago, IL 60639-3915 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063504165 | Loyola University Medical Center | Technician, Other | 2160 S First Ave, Maywood, IL 60153-3328 | 2006-09-28 |
Please comment or provide details below to improve the information on COOK COUNTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.