Cook County

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COOK COUNTY

Doing business as

Near South Health Center (FFS)

Practice address

3525 S Michigan Ave
Chicago, IL 60653-1019

Phone

(312) 945-4010

NPI assigned

Jan 29, 2020

Last updated

Mar 2, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

COOK COUNTYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Andrle

Title

Director of Managed Care Operations

Phone

(312) 864-4649

Specialties & licenses 1

Addresses

Other names 1

• Near South Health Center (FFS) Doing business as

Tax ID family

Community Triage Center67 organizations share this tax ID, including this one

Part of

Community Triage Center

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Cook County

  dba Cook County Health at Blue Island Health Center

  • Clinic Pharmacy
  • Blue Island, IL
  • NPI 1043238298
  NPD tax ID
• Cook County

  dba Robbins Health Center (FFS)

  • Family Medicine Physician
  • Robbins, IL
  • NPI 1053942045
  NPD tax ID
• Cook County

  dba Cook County Health - S - UA

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1093283533
  NPD tax ID
• Cook County

  dba Westside Health Center

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1124148366
  NPD tax ID
• Cook County

  dba Charles Hayes Center

  • Student Health Clinic/Center
  • Chicago, IL
  • NPI 1194845495
  NPD tax ID
• Cook County

  dba John Sengstacke Health Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1235760224
  NPD tax ID
• Cook County

  dba Cook County Health at North Riverside Health (FFS)

  • Family Medicine Physician
  • North Riverside, IL
  • NPI 1295366466
  NPD tax ID
• Cook County

  dba Children's Advocacy Center

  • Student Health Clinic/Center
  • Chicago, IL
  • NPI 1336269240
  NPD tax ID
• Cook County

  dba Ruth M. Rothstein CORE Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1366073256
  NPD tax ID
• Cook County

  dba Arlington Heights Health Center (FFS)

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1366073355
  NPD tax ID
• Cook County

  dba Cook County Health Professional Building

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1386110674
  NPD tax ID
• Cook County Adult Probation

  • Community/Behavioral Health Agency
  • Markham, IL
  • NPI 1396028064
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1194356089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W POLK ST RM 220C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531019",
            "telephone_number": "312-945-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK COUNTY",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "ANDRLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE OPERATIONS",
        "authorized_official_telephone_number": "312-864-4649"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Near South Health Center (FFS)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Near South Health Center (FFS)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher L Coogan, M.D.
• Kathleen Coogan
• Cook County (Fantus Health Center Pharmacy)
• Cook County (Cook County Health - S - UA)
• Cook County (Westside Health Center)
• Cook County (Charles Hayes Center)
• Cook County (John Sengstacke Health Center (FFS))
• Cook County (Central Campus Specialty Care Clinic)
• Cook County (Englewood Health Center)
• Cook County (Children's Advocacy Center)

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.