OrganizationActive
Cook County
NPI 1366073256 · Family Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1366073256
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cook County
- Organization subpart
- Yes
- Authorized official
- Scott Andrle, Director of Managed Care Operations(312) 864-4649
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2020 W Harrison St
Chicago, IL 60612-3741
Phone: (312) 864-4665
Street-level locationGet directions
Mailing address
1900 W Polk St Rm 220c
Chicago, IL 60612-3723
Other names (DBA / former)
- Doing business as
- Ruth M. Rothstein Core Center (ffs)
- Doing business as
- Ruth M. Rothstein Core Center (ffs)
Registry dates
- Enumerated
- 2020-01-29
- Last updated
- 2020-03-02
- Certified
- 2020-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.