Active NPI
North Chicago Community Health Center
- Public Health or Welfare Agency
- North Chicago, IL
National Provider Identifier
1023200706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- NORTH CHICAGO COMMUNITY HEALTH CENTER
- Practice address
- 2215 14TH St
North Chicago, IL 60064-1618 - Phone
- (847) 984-5230
- NPI assigned
- Aug 15, 2007
- Organization subpart
- Yes
- Parent organization
- LAKE COUNTY HEALTH DEPARTMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald Dismer, DDS
- Title
- Director of Dentistry
- Phone
- (847) 377-8581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | IL | Primary |
Addresses
Primary practice location
2215 14TH St
North Chicago, IL 60064-1618
Mailing address
2215 14TH St
North Chicago, IL 60064-1618
Phone (847) 984-5230
National Provider Directory
National Provider Directory- Part of
- Tara Littlejohn Gonzales MD - Arbor Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1023200706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 14TH ST",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600641618",
"telephone_number": "847-984-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 14TH ST",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600641618",
"telephone_number": "847-984-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CHICAGO COMMUNITY HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAKE COUNTY HEALTH DEPARTMENT",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "DISMER",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "DIRECTOR OF DENTISTRY",
"authorized_official_telephone_number": "847-377-8581",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.