COOK COUNTY
Long Term Care Hospital
Chicago, Illinois
Provider NPI: 1588781298
Organization Information:Organization Name: COOK COUNTY
Practice Location:
500 E 51ST STREET, ROOM 2008 AND 2050 CHICAGO, IL 60615 US
Tel: 312-572-5858 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
500 E 51ST STREET, ROOM 2008 AND 2050 CHICAGO, IL 60615 US
Tel: 312-572-5858 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers Pharmacy Clinic Pharmacy | IL | 054.017285 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2020716 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin