Christian Community Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CHRISTIAN COMMUNITY HEALTH CENTER

Practice address

16405 Frontage Rd
Oak Forest, IL 60452-4611

Phone

(773) 233-4100

NPI assigned

Jan 8, 2010

Last updated

Feb 9, 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

Virgil Tolbert

Title

Executive Director

Phone

(773) 233-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1174853410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288080",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606288080",
            "telephone_number": "773-233-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 FRONTAGE RD",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524611",
            "telephone_number": "773-233-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-233-4100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicagoland Early Intervention LTD
• Chicagoland Early Intervention LTD
• Chicmed Transportion &Logistics, LLC
• Sophia Y Chin, MD
• Chiro One Wellness Center of Oak Forest LLC
• James Mark Christian, M. DIV., L.C.P.C.
• Daniel Ciezobka
• City of Oak Forest
• Cheri A Clarke
• Cole Vision Corporation

• Federally Qualified Health Center (FQHC) in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Federally Qualified Health Center (FQHC) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.