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LOGAN SQUARE HEALTH CENTER (FFS)
NPI 1750912648
Family Medicine in Chicago, IL

Active since January 29, 2020
2840 W FULLERTON AVE, CHICAGO, IL 60647(312) 395-7400 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2020, Feb 13, 2020, Jan 29, 2020 (3 updates tracked since 2020).

About Logan Square Health Center (ffs) NPPES

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

LOGAN SQUARE HEALTH CENTER (FFS) (NPI 1750912648) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since January 2020. The organization lists Scott Andrle, Director Of Managed Care Operations, as its authorized official.

NPPES Registry Identity

NPI1750912648
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOK COUNTY
Location Address2840 W FULLERTON AVEChicago, IL 60647-2938
Mailing Address1900 W Polk St Rm 220cChicago, IL 60612-3723
Phone(312) 395-7400
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateJanuary 29, 2020
Last NPPES UpdateMarch 2, 20203 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1750912648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2840 W FULLERTON AVE, Chicago, IL 60647
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Other Names 1

Doing Business AsLogan Square Health Center (ffs)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. DENISE RENEE CUNILL MD
Pediatrics
2840 W FULLERTON AVE, LOGAN SQUARE HEALTH CENTER OF COOK COUNTY
CHICAGO, IL 60647
Cook County (773) 395-2966
MS. MATILDE TORRES LCSW
Social Worker (Clinical)
2840 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 395-2631
KARLA GABRIELLE TAPIA PA-C
Physician Assistant
2840 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 292-6250
NICOLE CORY BALTRUSHES HUGHES M.D.
Family Medicine
2840 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 395-7400

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 1750912648. It was assigned to this organization in the NPPES registry on January 29, 2020. The provider is doing business as Logan Square Health Center (ffs).

Where is Cook County located?

Cook County is located at 2840 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (312) 395-7400.

What is Cook County's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cook County was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.