Central Campus Specialty Care Clinic

LBN: Cook County
Central Campus Specialty Care Clinic is an health care organization with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Cook County can be contacted via phone (312) 864-4649, or through Andrle, Scott via phone (312) 864-4649.

Contact Information

Primary practice address
1901 W Harrison St Chicago IL 60612-3714
Phone: (312) 864-4649
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Andrle, Scott
Phone: (312) 864-4649

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 0005272 Illinois

Profile Details

NPI number 1245350040
LBN Legal business name Cook County
DBA Doing business as Central Campus Specialty Care Clinic
Authorized official Andrle, Scott
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jun 6th, 2022 - about 2 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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