NPIMap

Organization Active NPI

Chicago Department of Public Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1013249143
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Practice address
200 E 115TH St
Chicago, IL 60628-5015
Phone
(312) 747-7320
Fax
(312) 747-6250
NPI assigned
Jan 29, 2010
Organization subpart
Yes
Parent organization
CHICAGO DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Hillary Wang
Title
Project Manager
Phone
(312) 747-8875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 E 115TH St
Chicago, IL 60628-5015

Mailing address

200 E 115TH St
Chicago, IL 60628-5015
Phone (312) 747-7320

Other names 1

  • Roseland East 115th Street Health Hub Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin Satellite Senior Center63 organizations share this tax ID, including this one
Part of
Austin Satellite Senior Center

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

200 E 115th St
Chicago, IL 60628
Phone (312) 747-2823

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1013249143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 115TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285015",
            "telephone_number": "312-747-7320",
            "fax_number": "312-747-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 115TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285015",
            "telephone_number": "312-747-7320",
            "fax_number": "312-747-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2010-01-29",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "312-747-8875"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseland East 115th Street Health Hub",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 2024; 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.