City of Chicago

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CITY OF CHICAGO

Practice address

111 W Washington St FL 4
Chicago, IL 60602-2703

Phone

(312) 747-9884

Fax

(312) 747-9447

NPI assigned

Aug 1, 2005

Last updated

Nov 14, 2024By 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

Tyanna Qualls

Title

Projects Administrator

Phone

(312) 747-2203

Specialties & licenses 1

Addresses

Other names 1

• Chicago Department of Public Health Revenue 3200 Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• City of Chicago

  dba City of Chicago EMS

  • Ambulance
  • Chicago, IL
  • NPI 1376554592

  4486540929

  Same PAC ID

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Chicago

  dba City of Chicago Department of Public Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1073845848

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1194717330

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1194819623

  O20040303001160

  Same enrollment
• City of Chicago

  dba City of Chicago Department of Public Health

  • Public Health & General Preventive Medicine Physician
  • Chicago, IL
  • NPI 1194910125

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1245232628

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1417959800

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1477545614

  O20040303001160

  Same enrollment
• City of Chicago

  dba City of Chicago Department of Public Health

  • Public Health & General Preventive Medicine Physician
  • Chicago, IL
  • NPI 1518021153

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1871595256

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1992797138

  O20040303001160

  Same enrollment
• Greater Lawn Mental Health Center

  dba City of Chicago Department of Public Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1760474993

  O20040303001160

  Same enrollment

Locations (25 of 90)

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Lynne Gajewski

  • Social Worker
  • Chicago, IL
  • NPI 1538256276
  Medicare reassignment NPD
• Shilynda Scott Tolbert, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1558334532
  NPD
• Adedayo Anike Adegbemle, B.SC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1740596212
  NPD (past)
• Monica Broadie, RN

  • Licensed Practical Nurse
  • Chicago, IL
  • NPI 1285944223
  NPD (past)
• William D Clapp, MD

  • Pulmonary Disease Physician
  • Chicago, IL
  • NPI 1174721229
  NPD (past)
• Kevin Comer

  • Public Health & General Preventive Medicine Physician
  • Chicago, IL
  • NPI 1649580614
  NPD (past)
• Thomas Patrick Cothran, PHD

  • Clinical Neuropsychologist
  • Hinsdale, IL
  • NPI 1003197856
  NPD (past)
• Lorraine Adele Culver, PSY.D.

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1437460326
  NPD (past)
• Patricia Delaware

  • Case Manager/Care Coordinator
  • Chicago, IL
  • NPI 1801106091
  NPD (past)
• Delfin Diaz

  • Public Health & General Preventive Medicine Physician
  • Chicago, IL
  • NPI 1629388699
  NPD (past)
• Paul Diaz

  • Other Technician
  • Chicago, IL
  • NPI 1013360429
  NPD (past)
• Maria Rosa

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Chicago, IL
  • NPI 1437451374
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1194725192",
    "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": "111 W WASHINGTON ST FL 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022703",
            "telephone_number": "312-747-9884",
            "fax_number": "312-747-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "TYANNA",
        "authorized_official_title_or_position": "PROJECTS ADMINISTRATOR",
        "authorized_official_telephone_number": "312-747-2203"
    },
    "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 Revenue 3200",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• City Neuropsychology Chicago LLC (David A. Meyerson, PhD)
• City Neuropsychology PLLC (David A. Meyerson, PhD)
• City North Physical Therapy LTD
• City of Chicago (City of Chicago Department of Public Health)
• City of Chicago (Chicago Department of Public Health)
• City of Chicago (Chicago Department of Public Health)
• City of Chicago (City of Chicago Department of Public Health)
• City of Chicago
• City of Chicago (Chicago Department of Public Health)
• City of Chicago (City of Chicago EMS)

• Community Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.

Verify at the official NPI Registry.