NPIMap

Organization Active NPI

Co-Care L L C

  • Pediatrics Physician
  • Olympia Fields, IL
National Provider Identifier
1689619751
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CO-CARE L L C
Practice address
3701 Parthenon Way
Olympia Fields, IL 60461-1325
Phone
(708) 351-4895
NPI assigned
Jun 20, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Jeanette Bass-Jordan
Title
Executive Director
Phone
(708) 351-4895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X IL
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X IL Primary

Addresses

Primary practice location

3701 Parthenon Way
Olympia Fields, IL 60461-1325

Mailing address

3701 Parthenon Way
Olympia Fields, IL 60461-1325
Phone (708) 351-4895

National Provider Directory

National Provider Directory

Locations

165 W 10th St
Chicago Hts, IL 60411
Phone (708) 754-3507

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1689619751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 PARTHENON WAY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611325",
            "telephone_number": "708-351-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 PARTHENON WAY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611325",
            "telephone_number": "708-351-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-CARE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BASS-JORDAN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-351-4895"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.