NPIMap

Organization Active NPI

Urban Family Health Center Inc

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1003158981
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036062189 Issued in IL
Legal business name
URBAN FAMILY HEALTH CENTER INC
Practice address
10830 S Halsted St
Chicago, IL 60628-3126
Phone
(773) 264-1400
Fax
(773) 264-1401
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edwin Enefiok Ekong, D.O.
Title
President/Ceo
Phone
(773) 264-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036062189 IL Primary

Addresses

Primary practice location

10830 S Halsted St
Chicago, IL 60628-3126

Mailing address

10830 S Halsted St
Chicago, IL 60628-3126
Phone (773) 264-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1003158981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283126",
            "telephone_number": "773-264-1400",
            "fax_number": "773-264-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283126",
            "telephone_number": "773-264-1400",
            "fax_number": "773-264-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ENEFIOK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-264-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036062189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.