NPI 1073097606

Cook County Ccc

Organisation Case Management Agency Chicago, IL

Practice location

Address: 1901 W Harrison St, Chicago, IL 60612-3714
Phone: (312) 864-4649
Mailing address: 1900 W Polk St STE 220c, Chicago, IL 60612-3723

Authorised official

Name: Scott Andrle
Title: Director of Managed Care Operations
Phone: (312) 864-4649

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Illinois →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1073097606
Entity type: Organization
NPI issued: 19 Sep 2018
Record last updated: 9 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.