MEDICARE: COOK COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	0005272	IL

General Provider Information

NPI Number	:	1588612832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COOK COUNTY

Provider Business Mailing Address
First Line	:	1900 W POLK ST RM 220C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3723
Country	:	US
Telephone Number	:	312-864-4649
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 W HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3714
Country	:	US
Telephone Number	:	312-864-6000
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF MANAGED CARE OPERATIONS
Name	:	SCOTT ANDRLE
Credential	:
Telephone Number	:	312-864-4649

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	02/22/2019

Similar Medicare Providers

1902805658 — DR. CAROL A CZAPAR M.D.
Practice Location Address:

1901 W HARRISON ST
CHICAGO, IL
60612-3714

Practice Phone: 312-864-7533
Practice Fax:

1316946700 — MAAN SAMI EL KHADRA MD
Practice Location Address:

1901 W HARRISON ST
CHICAGO, IL
60612-3714

Practice Phone: 312-864-3036
Practice Fax: 312-864-9349

1912981374 — DR. KAMANA ESTHER MBEKEANI M.D
Practice Location Address:

1901 W HARRISON ST , DIVISION OF SURGICAL CRITICAL CARE
CHICAGO, IL
60612-3714

Practice Phone: 312-864-5268
Practice Fax:

1225090590 — DR. AMBIKA P AMBLEE MD
Practice Location Address:

1901 W HARRISON ST
CHICAGO, IL
60612-3714

Practice Phone: 312-864-6519
Practice Fax: 312-864-9734

1518925650 — DR. BYUNG H YU MD
Practice Location Address:

1901 W HARRISON ST
CHICAGO, IL
60612-3714

Practice Phone: 312-864-6000
Practice Fax: 312-563-2201

1558329086 — DR. MICHAEL A KELLY MD
Practice Location Address:

1901 W HARRISON ST , JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
CHICAGO, IL
60612-3714

Practice Phone: 312-864-7280
Practice Fax: 312-864-9787

Directions to “COOK COUNTY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.