COOK COUNTY
NPI 1780205708
Family Medicine - Geriatric Medicine in Blue Island, IL

NPI Status: Active since April 30, 2020

Contact Information

12757 S. WESTERN AVE
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 293-8400

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  • Organization
  • Family Medicine
  • Geriatric Medicine

About COOK COUNTY

This page provides the complete NPI Profile along with additional information for Cook County, a primary care provider established in Blue Island, Illinois operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1780205708 assigned on April 2020. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Scott Andrle (Director Of Managed Care)

NPI
1780205708
Provider Name
COOK COUNTY
Entity Type
Organization
Location Address
12757 S. WESTERN AVE BLUE ISLAND, IL 60406
Location Phone
(708) 293-8400
Mailing Address
1900 W POLK ST STE 220C CHICAGO, IL 60612
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-30-2020
Last Update Date
04-30-2020
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A primary care provider (PCP) like Cook County sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT ANDRLE

Authorized Official Title
DIRECTOR OF MANAGED CARE
Authorized Official Phone
(312) 864-4649

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780205708, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 4 + 0 + 1 + 0 + 7 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1780205708.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780205708, enumerated as an "organization" on April 30, 2020.

The provider is located at 12757 S. WESTERN AVE BLUE ISLAND, IL 60406 and the phone number is (708) 293-8400.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.