Cook County Health At Blue Island Health Center

LBN: Cook County
Cook County Health At Blue Island Health Center is an health care organization with primary practice located at 12757 Western Ave , Blue Island IL 60406-2155. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Cook County can be contacted via phone (708) 293-8400, or through Hunter-Morris, Gervaise via phone (708) 293-8411.

Contact Information

Primary practice address
12757 Western Ave Blue Island IL 60406-2155
Phone: (708) 293-8400
Fax: (708) 293-8408
Website:
Map and Directions
Authorized official contact:
Name: Hunter-Morris, Gervaise
Phone: (708) 293-8411

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 054017270 Illinois

Profile Details

NPI number 1043238298
LBN Legal business name Cook County
DBA Doing business as Cook County Health At Blue Island Health Center
Authorized official Hunter-Morris, Gervaise
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 17th, 2006
Last updated Aug 23rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043238298 NPPES
Other 2023252 PK
MEDICAID 355005541070 PK

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