Cook County

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

054.017287 Issued in IL

Legal business name

COOK COUNTY

Doing business as

Oak Forest Hospital E Building Pharmacy

Practice address

15900 S Cicero Ave
Oak Forest, IL 60452

Phone

(708) 633-3708

Fax

(708) 633-2295

NPI assigned

Jul 18, 2006

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judilynn Bult

Title

Cook County Health & Hospital

Phone

(708) 633-4437

Specialties & licenses 1

Addresses

Other names 1

• OAK FOREST HOSPITAL E BUILDING PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cook County

  dba Fantus Health Center Pharmacy

  • Clinic Pharmacy
  • Chicago, IL
  • NPI 1013035781

  O20031209000747

  Same enrollment
• Cook County

  dba Oak Forest Hospital

  • General Acute Care Hospital
  • Oak Forest, IL
  • NPI 1023228731

  O20031209000747

  Same enrollment
• Cook County

  dba Morton East Adolescent Health Center

  • Primary Care Clinic/Center
  • Cicero, IL
  • NPI 1104946904

  O20031209000747

  Same enrollment
• Cook County

  dba Central Campus Specialty Care Clinic

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1245350040

  O20031209000747

  Same enrollment
• Cook County

  dba Englewood Health Center

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1295855096

  O20031209000747

  Same enrollment
• Cook County

  dba Children's Advocacy Center

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1336268143

  O20031209000747

  Same enrollment
• Cook County

  dba Woody Winston Health Center

  • Primary Care Clinic/Center
  • Phoenix, IL
  • NPI 1336269133

  O20031209000747

  Same enrollment
• Cook County

  dba Oak Forest Hospital FFS

  • General Acute Care Hospital
  • Oak Forest, IL
  • NPI 1346360682

  O20031209000747

  Same enrollment
• Cook County

  dba Near South Health Cener

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1396865077

  O20031209000747

  Same enrollment
• Cook County

  dba Provident Hospital FFS

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1437279676

  O20031209000747

  Same enrollment
• Cook County

  dba Woodlawn Health Center

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1497874325

  O20031209000747

  Same enrollment
• Cook County

  dba Cook County Health at North Riverside Health

  • Primary Care Clinic/Center
  • Riverside, IL
  • NPI 1497875298

  O20031209000747

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenya M Williams, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Chicago, IL
  • NPI 1326080144
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1215955802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 S CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "60452",
            "telephone_number": "708-633-3708",
            "fax_number": "708-633-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 S CICERO AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "60452",
            "telephone_number": "708-633-3708",
            "fax_number": "708-633-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "BULT",
        "authorized_official_first_name": "JUDILYNN",
        "authorized_official_title_or_position": "COOK COUNTY HEALTH & HOSPITAL",
        "authorized_official_telephone_number": "708-633-4437"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IL",
            "license": "054.017287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK FOREST HOSPITAL E BUILDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Continuum Foot & Ankle Medical & Surgical Center LTD.
• Conway Nutrition Services, Inc.
• Jennifer Woods Conway, RD,LDN
• Marryssa Conway, PHARMD
• Cook County (Oak Forest Hospital)
• Cook County (Oak Forest Hospital FFS)
• Cook County (Oak Forest Health Center (FFS))
• Cook County (Oak Forest Urgent/Immediate Care Clinic)
• Cook County (Oak Forest Hospital)
• Cook County (Achn Specialty Care Center -Ofh)

• Mail Order Pharmacy in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Mail Order Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.