Organization · Type 2 NPI

Cook County

Student Health Clinic/Center · Chicago, IL

NPI number 1336269240 Active

Practice location

1240 S Damen Ave
Chicago, IL 60608-1122

Call (312) 492-3860 Map

Mailing address

1900 W Polk St Rm 220C
Chicago, IL 60612-3723

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	0004549 (IL)

Student Health Clinic/Center: Definition to come...

4 other providers at this address

Chicago Children's Advocacy CenterAdolescent and Children Mental Health Clinic/Center Chicago, IL NPI 1114801743
Cook CountyHealth Service Clinic/Center Chicago, IL NPI 1336268143
Cook CountyFamily Medicine Physician Chicago, IL NPI 1740811736
Emily Siffermann, MDPediatrics Physician Chicago, IL NPI 1699792366

Other student health clinic/center providers in Chicago

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NPI record

NPI: 1336269240
Entity type: Organization (Type 2)
Issued: Apr 2, 2007
Last updated: Feb 22, 2019
Status: Active
Subpart: Yes of Cook County

Other names

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Children's Advocacy Center · doing business as

Authorized official

Scott Andrle
Director of Managed Care Operations
(312) 864-4649

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336269240

Cook County's National Provider Identifier is 1336269240, issued on Apr 2, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Chicago, IL. The record was last updated on Feb 22, 2019.