Organization Active NPI

Cook County Institute of Health and Wellness LTD

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1801197918
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COOK COUNTY INSTITUTE OF HEALTH AND WELLNESS LTD
Practice address
8836 S Ashland Ave
Chicago, IL 60620-4956
Phone
(773) 629-6036
Fax
(773) 629-6852
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Kenneth S Nave, MDNPI 1518117233
Title
Ceo
Phone
(708) 699-0293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

8836 S Ashland Ave
Chicago, IL 60620-4956

Mailing address

8836 S Ashland Ave
Chicago, IL 60620-4956
Phone (773) 629-6036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1801197918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204956",
            "telephone_number": "773-629-6036",
            "fax_number": "773-629-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204956",
            "telephone_number": "773-629-6036",
            "fax_number": "773-629-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY INSTITUTE OF HEALTH AND WELLNESS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "NAVE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-699-0293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.