Active NPI
City of Chicago
- Community Health Clinic/Center
- Chicago, IL
National Provider Identifier
1194717330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- CITY OF CHICAGO
- Practice address
- South Chicago
2938 E 89TH Street
Chicago, IL 60617 - Phone
- (312) 747-5285
- Fax
- (612) 787-6161
- NPI assigned
- Aug 15, 2005
- 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
- Matthew W. Beaudet
- Title
- First Deputy Commissioner
- Phone
- (312) 747-9889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | IL | Primary |
Addresses
Primary practice location
South Chicago
2938 E 89TH Street
Chicago, IL 60617
Mailing address
111 W Washington St FL 4
Chicago, IL 60602-2703
Phone (312) 747-9443
Other names 2
- Chicago Department of Public Health
- City of Chicago Department of Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1073845848
O20040303001160
-
- Public Health & General Preventive Medicine Physician
- Chicago, IL
- NPI 1194910125
O20040303001160
-
- Public Health & General Preventive Medicine Physician
- Chicago, IL
- NPI 1518021153
O20040303001160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1760474993
O20040303001160
National Provider Directory
National Provider DirectoryLocations
2938 E 89th St
Chicago, IL 60617
Phone (312) 747-5285
4314 S Cottage Grove Ave
Chicago, IL 60653
Phone (312) 747-0036
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1558334532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1194717330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W WASHINGTON ST FL 4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606022703",
"telephone_number": "312-747-9443",
"fax_number": "312-747-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH CHICAGO",
"address_2": "2938 E 89TH STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "312-747-5285",
"fax_number": "612-787-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CHICAGO",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"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": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chicago Department of Public Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "City of Chicago Department of Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.