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MORTON EAST ADOLESCENT HEALTH CENTER
NPI 1104946904
Clinic/Center - Primary Care in Cicero, IL

Active since March 29, 2007CLIA 14D0990014 · Microscopy
2423 S AUSTIN BLVD, CICERO, IL 60804(708) 656-1130 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Morton East Adolescent Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORTON EAST ADOLESCENT HEALTH CENTER (NPI 1104946904) is a healthcare organization registered as a primary care in Cicero, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 9, 2027 and lists Scott Andrle, Director Of Managed Care Operations, as its authorized official.

NPPES Registry Identity

NPI1104946904
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOOK COUNTY
Location Address2423 S AUSTIN BLVDCicero, IL 60804-2616
Mailing Address1900 W Polk St Rm 220cChicago, IL 60612-3723 · (312) 864-4649
Phone(708) 656-1130
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 22, 2019
✔ NPI 1104946904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 0005272
2423 S AUSTIN BLVD, Cicero, IL 60804
Open in Google Maps ↗

Other Names 1

Doing Business AsMorton East Adolescent Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0990014

Morton East Adolescent Health Center · Cicero, IL
Active · expires Aug 9, 2027
CLIA Number14D0990014
Laboratory TypeOther
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDenise R. Cunill MD
Laboratory Phone(708) 656-1130
Laboratory LocationMorton East Adolescent Health Center2423 S Austin Blvd, Cicero, IL 60804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIANA DAISY FRANCO
Social Worker (School)
2423 S AUSTIN BLVD
CICERO, IL 60804
Cook County (708) 780-4000
COOK COUNTY
Family Medicine
2423 S AUSTIN BLVD
CICERO, IL 60804
Cook County (708) 656-1130
RANDY BLASZCZYK CCC-SLP/L
Speech-Language Pathologist
2423 S AUSTIN BLVD
CICERO, IL 60804
Cook County (708) 780-2800
MRS. MARIA CASTILLO MSW, LCSW
Social Worker (Clinical)
2423 S AUSTIN BLVD, 213
CICERO, IL 60804
Cook County (708) 656-1130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cook County's NPI number?

The NPI number for Cook County is 1104946904. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Morton East Adolescent Health Center.

Where is Cook County located?

Cook County is located at 2423 S Austin Blvd, Cicero, IL 60804. The listed phone number is (708) 656-1130.

What is Cook County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cook County hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0990014) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cook County was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.