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

Active since April 30, 2020
12757 S. WESTERN AVE, BLUE ISLAND, IL 60406(708) 293-8400 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cook County NPPES

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

COOK COUNTY (NPI 1780205708), doing business as Cook County Health At Blue Island, is a healthcare organization registered as a geriatric medicine in Blue Island, Illinois and active in the NPI registry since April 2020. The organization lists Scott Andrle, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1780205708
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameCOOK COUNTY
Location Address12757 S. WESTERN AVEBlue Island, IL 60406
Mailing Address1900 W Polk St Ste 220cChicago, IL 60612-3723
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care · (312) 864-4649
Enumeration DateApril 30, 2020
NPPES CertifiedApril 30, 2020
NPI 1780205708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
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.
12757 S. WESTERN AVE, Blue Island, IL 60406

Other Names 1

Doing Business AsCook County Health At Blue Island

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1780205708. It was assigned to this organization in the NPPES registry on April 30, 2020. The provider is doing business as Cook County Health at Blue Island.

Where is Cook County located?

Cook County is located at 12757 S. Western Ave, Blue Island, IL 60406. The listed phone number is (708) 293-8400.

What is Cook County's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Cook County was last updated on April 30, 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.