Chicago Health Clinic NFP

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHICAGO HEALTH CLINIC NFP

Doing business as

Suzys Place

Practice address

6423 N Rockwell St
Chicago, IL 60645-5319

Phone

(773) 544-0201

NPI assigned

Oct 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Charles Levy, ATTY

Title

Chief Legal Counsel

Phone

(773) 544-0201

Specialties & licenses 1

Addresses

Other names 1

• Suzys Place Doing business as

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570838400000",
    "number": "1073155958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 N ROCKWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455319",
            "telephone_number": "773-544-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6423 N ROCKWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455319",
            "telephone_number": "773-544-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO HEALTH CLINIC NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-12",
        "last_updated": "2019-10-12",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF LEGAL COUNSEL",
        "authorized_official_telephone_number": "773-544-0201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATTY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzys Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; 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.