NPIMap

Organization Active NPI

Mercy Diagnostic and Treatment Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1245677848
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
1884582 Issued in IL
Legal business name
MERCY DIAGNOSTIC AND TREATMENT CENTER
Doing business as
Mercy Family Health Center FQHC
Practice address
3755 S Cottage Grove
Chicago, IL 60653
Phone
(312) 567-2000
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Ms. Iris Chan
Title
Cfo
Phone
(312) 567-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 1884582 IL Primary

Addresses

Primary practice location

3755 S Cottage Grove
Chicago, IL 60653

Mailing address

3755 S Cottage Grove
Chicago, IL 60653
Phone (312) 567-2000

Other names 1

  • Mercy Family Health Center FQHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Diagnostic and Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1245677848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 S COTTAGE GROVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60653",
            "telephone_number": "312-567-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 S COTTAGE GROVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60653",
            "telephone_number": "312-567-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY DIAGNOSTIC AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-567-6676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "IL",
            "license": "1884582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Family Health Center FQHC",
            "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 May 24, 2013; 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.