Active NPI
Cook County
Doing business as Cook County Health at North Riverside Health
- Primary Care Clinic/Center
- Riverside, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0005272
- Legal business name
- COOK COUNTY
- Doing business as
- Cook County Health at North Riverside Health
- Practice address
- 1800 S. Harlem Ave
Riverside, IL 60546-1468 - Phone
- (708) 783-9800
- NPI assigned
- Mar 29, 2007
- Last updated
- Feb 13, 2020
- 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 Operatons
- Phone
- (312) 864-4649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0005272 | IL | Primary |
Addresses
Primary practice location
1800 S. Harlem Ave
Riverside, IL 60546-1468
Mailing address
1900 W Polk St RM 220C
Chicago, IL 60612-3723
Phone (312) 864-4649
Other names 1
- Cook County Health at North Riverside Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 29
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 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 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
-
dba Oak Forest Hospital FFS
- General Acute Care Hospital
- Oak Forest, IL
- NPI 1346360682
O20031209000747
-
dba Near South Health Cener
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1396865077
O20031209000747
-
dba Provident Hospital FFS
- General Acute Care Hospital
- Chicago, IL
- NPI 1437279676
O20031209000747
-
dba Woodlawn Health Center
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1497874325
O20031209000747
National Provider Directory
National Provider Directory- Tax ID family
- Community Triage Center
- Part of
- Community Triage Center
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Ruth M. Rothstein CORE Center (FFS)
- Family Medicine Physician
- Chicago, IL
- NPI 1366073256
-
dba Arlington Heights Health Center (FFS)
- Family Medicine Physician
- Arlington Heights, IL
- NPI 1366073355
-
dba Cook County Health Professional Building
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1386110674
-
dba Cottage Grove Health Center (FFS)
- Family Medicine Physician
- Ford Heights, IL
- NPI 1427689413
-
dba Oak Forest Health Center (FFS)
- Family Medicine Physician
- Oak Forest, IL
- NPI 1457982340
-
dba Morton East Adolescent Health Center (FFS)
- Family Medicine Physician
- Cicero, IL
- NPI 1457982449
-
dba Cook County Health Professional Building
- Family Medicine Physician
- Chicago, IL
- NPI 1518598507
Locations
5912 W Cermak Rd
Cicero, IL 60804
Phone (708) 783-9800
1800 Harlem Ave
Riverside, IL 60546
Phone (708) 783-9800
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": "1581552000000",
"number": "1497875298",
"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": "1800 S. HARLEM AVE",
"city": "RIVERSIDE",
"state": "IL",
"postal_code": "605461468",
"telephone_number": "708-783-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOK COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COOK COUNTY",
"enumeration_date": "2007-03-29",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "ANDRLE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE OPERATONS",
"authorized_official_telephone_number": "312-864-4649"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "0005272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cook County Health at North Riverside Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Riverside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.