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CENTRAL CAMPUS SPECIALTY CARE CLINIC (FFS)
NPI 1790316784
Family Medicine in Chicago, IL

Active since January 29, 2020
1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-6126 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

About Central Campus Specialty Care Clinic (ffs) NPPES

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

CENTRAL CAMPUS SPECIALTY CARE CLINIC (FFS) (NPI 1790316784) 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

NPI1790316784
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOK COUNTY
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address1900 W Polk St Rm 220cChicago, IL 60612-3723
Phone(312) 864-6126
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateJanuary 29, 2020
Last NPPES UpdateMarch 2, 20202 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1790316784 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.
1901 W HARRISON ST, Chicago, IL 60612
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Other Names 1

Doing Business AsCentral Campus Specialty Care Clinic (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 20

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

JOHANNA WEFES-POTTER
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (847) 843-2000
ARON BERHANU GUDETTA MD
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. LIGAYA VILLAFRANCA MARASIGAN M.D.
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Cook County (312) 864-5901
TIN TIN THOMAS M.D.
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
COOK COUNTY
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6189
HELEN ELIZABETH STRAUS MD
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-0060
MR. GLEN DERRICK TRAMMELL PA-C
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 869-7488
JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 319-2085

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 1790316784. It was assigned to this organization in the NPPES registry on January 29, 2020. The provider is doing business as Central Campus Specialty Care Clinic (ffs).

Where is Cook County located?

Cook County is located at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6126.

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.