Organization · Type 2 NPI

Cook County

Family Medicine Physician · Chicago, IL

NPI number 1922639913 Active

Practice location

1135 W 69th St
Chicago, IL 60621-1147

Call (773) 483-5011 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

Other family medicine physician providers in Chicago

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NPI record

NPI: 1922639913
Entity type: Organization (Type 2)
Issued: Jan 29, 2020
Last updated: Mar 2, 2020
Status: Active
Subpart: Yes of Cook County

Other names

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Englewood Health Center (ffs) · doing business as
Englewood Health Center (ffs) · 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 1922639913

Cook County's National Provider Identifier is 1922639913, issued on Jan 29, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Mar 2, 2020.