Active NPI
New Birth Christian Center
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1033423835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NEW BIRTH CHRISTIAN CENTER
- Practice address
- 5335 Lemoyne St
Chicago, IL 60651-1326 - Phone
- (773) 261-7404
- Fax
- (773) 751-2250
- NPI assigned
- Aug 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robbie Wilkerson, PASTOR
- Title
- Pres
- Phone
- (773) 261-7404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
5335 Lemoyne St
Chicago, IL 60651-1326
Mailing address
5335 W Lemoyne
Chicago, IL 60651-1326
Phone (773) 261-7404
National Provider Directory
National Provider DirectoryLocations
4255 W Division St
Chicago, IL 60651
Phone (773) 261-7404
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1073890521
-
- Psychiatry Physician
- Northfield, IL
- NPI 1932374873
-
- Psychiatry Physician
- Orlando, FL
- NPI 1043236235
-
- Psychiatry Physician
- Lafayette, IN
- NPI 1003006701
-
- Psychiatry Physician
- Dubuque, IA
- NPI 1467407890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280880000000",
"number": "1033423835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5335 W LEMOYNE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606511326",
"telephone_number": "773-261-7404",
"fax_number": "773-751-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 LEMOYNE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606511326",
"telephone_number": "773-261-7404",
"fax_number": "773-751-2250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BIRTH CHRISTIAN CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A",
"authorized_official_last_name": "WILKERSON",
"authorized_official_first_name": "ROBBIE",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "773-261-7404",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PASTOR"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"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 Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.