Cook County

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0005272 Issued in IL

Legal business name

COOK COUNTY

Doing business as

Children's Advocacy Center

Practice address

1240 S Damen Ave
Chicago, IL 60608-1122

Phone

(312) 492-3860

NPI assigned

Mar 29, 2007

Last updated

Feb 22, 2019By 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

Coo

Phone

(312) 864-4649

Specialties & licenses 1

Addresses

Other names 1

• CHILDREN'S ADVOCACY CENTER 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 Oak Forest Hospital E Building Pharmacy

  • Mail Order Pharmacy
  • Oak Forest, IL
  • NPI 1215955802

  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 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

Part of

Community Triage Center

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1336268143",
    "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",
            "telephone_number": "312-864-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081122",
            "telephone_number": "312-492-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK COUNTY",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "ANDRLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "312-864-4649"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "0005272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S ADVOCACY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHILDREN'S ADVOCACY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cook County (Near South Health Center (FFS))
• 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)
• Cook County (Ruth M. Rothstein CORE Center (FFS))
• Cook County (Cook County Health Professional Building)
• Cook County (Near South Health Cener)
• Cook County (Provident Hospital FFS)

• Health Service Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.