NPIMap

Organization Active NPI

Community First Healthcare of Illinois, Inc

Doing business as Community First Medical Center

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1033214416
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1719
Legal business name
COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC
Doing business as
Community First Medical Center
Practice address
5645 W Addison St
Chicago, IL 60634-4403
Phone
(773) 282-7000
Fax
(773) 794-7695
NPI assigned
Sep 13, 2006
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Faisal Master
Title
Coo
Phone
(773) 794-4674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X 1719 Primary

Addresses

Primary practice location

5645 W Addison St
Chicago, IL 60634-4403

Mailing address

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

Other identifiers 3

IdentifierTypeStateIssuer
362644178001MedicaidIL
0316OtherBLUE CROSS
2017020OtherPK

Other names 1

  • COMMUNITY FIRST MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150126001610 IL Part A Provider - Hospital 2860716685 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033214416. Details of each certification follow.

Hospital certification: CCN 140251

Legal name
COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC
Doing business as
COMMUNITY FIRST MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 7, 2021
Beds
299
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2015 (1 total)
Organization structure
CorporationProprietary
Incorporated
Jun 25, 2014 in IL
Enrollment address
5645W Addison St
Chicago, IL 60634-4403
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Community First Medical CenterCCN 140251 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Community First Healthcare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edward J Green Individual 5% Or Greater Direct Ownership Interest Jun 25, 2014 50%
Corporate DirectorBoard Member Jun 25, 2014 50%
Dina M Lipowich Individual Corporate OfficerChief Nursing Officer Jul 12, 2021
Rick a Muckelrath Individual 5% Or Greater Direct Ownership InterestPrincipal & Board Member at Corp Jun 25, 2014 50%
Corporate DirectorBoard Member Jun 25, 2014 50%
Faisal Master Individual Corporate OfficerChief Operating Officer Sep 5, 2021 100%
W-2 Managing EmployeeChief Operating Officer Sep 5, 2021 100%

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 168

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 168

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1033214416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "773-282-7000",
            "fax_number": "773-794-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "773-282-7000",
            "fax_number": "773-794-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-794-4674"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362644178001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0316",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2017020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY FIRST MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.