Chicago Community Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHICAGO COMMUNITY CLINIC

Practice address

1606 Linden Street
Des Plaines, IL 60018

Phone

(773) 973-3396

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

WOMENS ASSOCIATION FORUM INC.As reported in NPPES

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

Authorized official

Name

Sameena Hussain

Title

Manager

Phone

(630) 234-0910

Specialties & licenses 3

Addresses

Part of

Chicago Community Clinic

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1275395402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 LINDEN STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 LINDEN STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "773-973-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO COMMUNITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMENS ASSOCIATION FORUM INC.",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SAMEENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-234-0910"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Chapman, PH.D.
• Agnes Chavez
• Carina Barros Chavez, D.D.S.
• Norene Chesebro
• Chicago Apparels LLC
• Chicago Meds LLC (Uvanta Pharmacy - Northern Ilinois)
• Chicago Midwest Home Health Inc.
• Chicago Neuropsychology Institute
• Chicago Neurospine Surgry PLLC
• Chicagoland Oculoplastics Consultants PLLC

• Internal Medicine Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.