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Cook County — NPI 1336269133, Phoenix, IL | NPI Central

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NPI 1336269133

OrganizationActive

Cook County

NPI 1336269133 · Primary Care Clinic/Center · Phoenix, IL

Provider details

NPI number: 1336269133
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Sandra Ankebrant, Coo(312) 864-0719
License: 0001743 (IL)

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300XLicense 0001743 (IL)
Ambulatory Health Care Facilities

Practice location

650 E Phoenix Center Dr

Phoenix, IL 60426

Phone: (708) 225-9900

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1110 S Oakley Blvd

Chicago, IL 60612-4218

Other names (DBA / former)

Doing business as: Woody Winston Health Center

Registry dates

Enumerated: 2007-03-29
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.