Cook County

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

COOK COUNTY

Doing business as

Cook County Health & Hospitals System Physician Services

Practice address

1969 W. Ogden Ave.
Chicago, IL 60612-3723

Phone

(312) 864-6000

NPI assigned

Jul 7, 2011

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott Andrle

Title

Director of Managed Care

Phone

(312) 864-6000

Specialties & licenses 15

Addresses

Other names 1

• Cook County Health & Hospitals System Physician Services 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 Children's Advocacy Center

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1336268143

  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

Locations

Practitioners 1,662

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.

• Tahir A Abbasi, M.D.

  • Cardiovascular Disease Physician
  • Hazel Crest, IL
  • NPI 1255495701
  NPD
• Ariane Abcarian, M.D.

  • Colon & Rectal Surgery Physician
  • Chicago, IL
  • NPI 1831364272
  NPD
• Hossam Hamdi Abdelsalam, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Springfield, IL
  • NPI 1972543080
  NPD
• Ayokunle Temidayo Abegunde, M.D.

  • Gastroenterology Physician
  • Maywood, IL
  • NPI 1194031435

  Internal Medicine

  NPD
• Homer Abiad, M.D.

  • Infectious Disease Physician
  • Oak Forest, IL
  • NPI 1871596817

  Internal Medicine

  NPD
• Titilayo Colette Abiona, MD

  • Family Medicine Physician
  • Frankfort, IL
  • NPI 1407086515
  NPD
• Johny Abraham

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1548724578
  NPD
• Frida P Abrahamian, MD

  • Gastroenterology Physician
  • Chicago, IL
  • NPI 1447274279

  Internal Medicine

  NPD
• Fidel Abrego, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1245351824
  NPD
• Brittany Tanner Abud, MD

  • Otolaryngology Physician
  • Chicago, IL
  • NPI 1386104891
  NPD
• Khaled Abughazaleh, BDS,DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chicago, IL
  • NPI 1295840304
  NPD
• Jyothi Achankunju, M.D

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1457625303
  NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1821385170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COOK COUNTY HEALTH AND",
            "address_2": "25706 NETWORK PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731257",
            "telephone_number": "312-864-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W. OGDEN AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723",
            "telephone_number": "312-864-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "ANDRLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "312-864-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook County Health & Hospitals System Physician Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cook County Health & Hospitals System Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cook County (Children's Advocacy Center (FFS))
• Cook County (Logan Square Health Center (FFS))
• Cook County (John H. Stroger, Jr. Hospital BC Outpatient Pharmacy)
• Cook County (Central Campus Specialty Care Clinic (FFS))
• Cook County (John H. Stroger, Jr. Hospital of Cook County)
• Cook County (Bronzeville Health Center)
• Cook County (Provident Dialysis Center)
• Cook County (Fantus Health Center Refill Pharmacy)
• Cook County (Jorge Prieto Health Center)
• Cook County (Ruth M Rothstein CORE Center)

• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.