Organization Active NPI

North Chicago Community Health Center

  • Public Health or Welfare Agency
  • North Chicago, IL
National Provider Identifier
1023200706
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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 DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.