Universidad Popular

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

UNIVERSIDAD POPULAR

Practice address

2801 S Hamlin Ave
Chicago, IL 60623-4554

Phone

(773) 733-5055

Fax

(773) 733-5056

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elio Dearrudah, EDD

Title

Executive Director

Phone

(773) 733-5055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1033865316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234554",
            "telephone_number": "773-733-5055",
            "fax_number": "773-733-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234554",
            "telephone_number": "773-733-5055",
            "fax_number": "773-733-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSIDAD POPULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "DEARRUDAH",
        "authorized_official_first_name": "ELIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-733-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Portable X-Ray Service, Inc.
• Universal Portable X-Ray Service, Inc.
• Universal Radiology LTD
• Universal Wellness Source at Lakeshore East SC (Universal Health Source)
• Universall Healing
• University Anesthesiologists SC
• University Anesthesiologists SC
• University Associates in Dentistry, LTD.
• University Associates in Internal Medicine S.C.
• University Dental Associates

• Health Educator in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Educator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.