Active NPI
Cook County
Doing business as Near South Health Cener
- Primary Care Clinic/Center
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0004549
- Legal business name
- COOK COUNTY
- Doing business as
- Near South Health Cener
- Practice address
- 3525 S Michigan Ave
Chicago, IL 60653-1019 - Phone
- (312) 945-4010
- NPI assigned
- Mar 29, 2007
- Last updated
- Feb 22, 2019
- Organization subpart
- Yes
- Parent organization
- COOK COUNTY
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0004549 | IL | Primary |
Addresses
Primary practice location
3525 S Michigan Ave
Chicago, IL 60653-1019
Mailing address
1900 W Polk St RM 220C
Chicago, IL 60612-3723
Phone (312) 864-4649
Other names 1
- NEAR SOUTH HEALTH CENER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031209000747 | IL | Part B Supplier - Clinic/Group Practice | 2860398088 |
Receives reassigned benefits from 1,783 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL; Ford Heights, IL; North Riverside, IL; Robbins, IL; Arlington Heights, IL |
| O20101228000196 | IL | Part A Provider - Hospital | 2860398088 |
26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arlington Heights, IL; Robbins, IL; North Riverside, IL; Ford Heights, IL; Cicero, IL; Chicago, IL; Blue Island, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1396865077. Details of each certification follow.
Hospital certification: CCN 140124
- Legal name
- COOK COUNTY
- Doing business as
- JOHN H. STROGER, JR HOSPITAL OF COOK COUNTY
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 12, 2016
- Beds
- 918
- Ownership / control type
- Local
- Organization structure
- Government
- Incorporated
- Jan 1, 1866 in IL
- Enrollment address
- 1901 W Harrison St
Chicago, IL 60612-3714 - Hospital subgroups
- General, Acute care, Other
Other NPIs on the same Medicare enrollment 49
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Fantus Health Center Pharmacy
- Clinic Pharmacy
- Chicago, IL
- NPI 1013035781
O20031209000747
-
dba Oak Forest Hospital
- General Acute Care Hospital
- Oak Forest, IL
- NPI 1023228731
O20031209000747
-
dba Cook County Health at Blue Island Health Center
- Clinic Pharmacy
- Blue Island, IL
- NPI 1043238298
O20101228000196
-
dba Robbins Health Center (FFS)
- Family Medicine Physician
- Robbins, IL
- NPI 1053942045
O20101228000196
-
dba Cook County Health - S - UA
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1093283533
O20101228000196
-
dba Morton East Adolescent Health Center
- Primary Care Clinic/Center
- Cicero, IL
- NPI 1104946904
O20031209000747
-
dba Oak Forest Hospital E Building Pharmacy
- Mail Order Pharmacy
- Oak Forest, IL
- NPI 1215955802
O20031209000747
-
dba Central Campus Specialty Care Clinic
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1245350040
O20031209000747
-
dba Cook County Health at North Riverside Health (FFS)
- Family Medicine Physician
- North Riverside, IL
- NPI 1295366466
O20101228000196
-
dba Englewood Health Center
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1295855096
O20031209000747
-
dba Children's Advocacy Center
- Health Service Clinic/Center
- Chicago, IL
- NPI 1336268143
O20031209000747
-
dba Woody Winston Health Center
- Primary Care Clinic/Center
- Phoenix, IL
- NPI 1336269133
O20031209000747, O20101228000196
Care Compare: Hospital
Medicare Care Compare- Listed as
- John H Stroger Jr Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- Community Triage Center
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Eze Peter Nwaezeigwe | Corporate Director | Nov 13, 2018 | |
| W-2 Managing Employee | Nov 13, 2018 | ||
| Cook County | 5% Or Greater Direct Ownership Interest | Oct 27, 2010 | 100% |
| Scott Spencer | Corporate Officer | Dec 29, 2025 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Provident Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1487664561
5% Or Greater Direct Ownership Interest
-
dba Provident Dialysis Center
- Renal Dialysis Technician
- Chicago, IL
- NPI 1578170221
5% Or Greater Direct Ownership Interest
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
5% Or Greater Direct Ownership Interest
-
dba John H. Stroger, Jr. Hospital of Cook County
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1821278938
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 673
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Chicago, IL
- NPI 1154841286
NPI Registry JSON
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": "1396865077",
"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": "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": "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": "DIRECTOR OF MANAGED CARE OPERATIONS",
"authorized_official_telephone_number": "312-864-4649"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "0004549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEAR SOUTH HEALTH CENER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NEAR SOUTH HEALTH CENER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
- Cook County (Englewood Health Center)
- Cook County (Children's Advocacy Center)
- Cook County (Children's Advocacy Center)
- Cook County (Ruth M. Rothstein CORE Center (FFS))
- Cook County (Cook County Health Professional Building)
- Cook County (Provident Hospital FFS)
- Cook County (Cook County Health - P -UA)
- Cook County (Provident Hospital of Cook County)
- Cook County (Woodlawn Health Center)
- Cook County (Cook County Health Professional Building)
Sources for this page
- 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.