NPIMap

Organization Active NPI

Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1114243425
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Practice address
845 W Wilson Ave
Chicago, IL 60640-5704
Phone
(312) 744-1938
NPI assigned
Apr 12, 2010
Last updated
Apr 12, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF CHICAGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Matthew W Beaudet
Title
First Deputy Commissioner
Phone
(312) 747-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

845 W Wilson Ave
Chicago, IL 60640-5704

Mailing address

333 S State St
Room 200 - Revenue
Chicago, IL 60604-3900
Phone (312) 747-9545

Other identifiers 1

IdentifierTypeStateIssuer
14D0043704MedicaidIL

Other names 1

  • CDPH Other name

National Provider Directory

National Provider Directory
Tax ID family
Chicago Dept of Health63 organizations share this tax ID, including this one
Part of
Chicago Dept of Health

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1114243425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STATE ST",
            "address_2": "ROOM 200 - REVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043900",
            "telephone_number": "312-747-9545",
            "fax_number": "312-746-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W WILSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405704",
            "telephone_number": "312-744-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF CHICAGO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "BEAUDET",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FIRST DEPUTY COMMISSIONER",
        "authorized_official_telephone_number": "312-747-9889"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14D0043704",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 12, 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.

Verify at the official NPI Registry.