Cook County

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

054.017287 Issued in IL

Legal business name

COOK COUNTY

Practice address

15900 S Cicero Ave
Oak Forest, IL 60452

Phone

(708) 633-3708

Fax

(708) 633-2295

NPI assigned

Jul 18, 2006

Organization subpart

No

Name

Judilynn Bult

Title

Cook County Health & Hospital

Phone

(708) 633-4437

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

• Cook County

  • Clinic Pharmacy
  • Chicago, IL
  • NPI 1013035781

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment
• Cook County

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

  O20031209000747

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenya M Williams, MD

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

• OAK FOREST HOSPITAL E BUILDING PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2010.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1483584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK FOREST HOSPITAL E BUILDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cole Vision Corporation
• Continuum Foot & Ankle Medical & Surgical Center LTD.
• Conway Nutrition Services, Inc.
• Jennifer Woods Conway, RD,LDN
• Cook County
• Cook County
• Cook County
• Cook County
• Cook County
• Cook County

• All providers in Oak Forest, IL
• 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.