NPIMap

Organization Active NPI

Near North Health Service Corporation

  • Health Educator
  • Chicago, IL
National Provider Identifier
1285330126
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
NEAR NORTH HEALTH SERVICE CORPORATION
Doing business as
Near North Health Service Corporation
Practice address
1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone
(312) 337-1073
Fax
(312) 337-5264
NPI assigned
Feb 2, 2023
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Cush Mvududu
Title
Controller
Phone
(312) 337-1073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

1276 N Clybourn Ave
Chicago, IL 60610-2003

Mailing address

1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone (312) 337-1073

Other practice location 1

4259 S Berkeley Ave
Chicago, IL 60653-3030
Phone (773) 268-7600

Other practice location 2

1520 N Kostner Ave
Chicago, IL 60651-1610
Phone (312) 216-8020

Other practice location 3

800 N Kedzie Ave
Chicago, IL 60651-4100
Phone (773) 826-3450

Other practice location 4

4140 N Broadway St
Chicago, IL 60613-2121
Phone (773) 878-8098

Other practice location 5

2844 N Milwaukee Ave
Chicago, IL 60618-7401
Phone (773) 664-3349

Other practice location 6

4829 S Cottage Grove Ave
Chicago, IL 60615-1600
Phone (773) 548-1170

Other practice location 7

834 E 50th St
Chicago, IL 60615-2620
Phone (773) 358-6767

Other practice location 8

150 E Huron St
Chicago, IL 60611-2999
Phone (312) 741-8554

Other names 1

  • Near North Health Service Corporation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Near N HLTH SRV Corp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

2844 N Milwaukee Ave
Chicago, IL 60618
Phone (312) 337-1073

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1285330126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102003",
            "telephone_number": "312-337-1073",
            "fax_number": "312-337-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102003",
            "telephone_number": "312-337-1073",
            "fax_number": "312-337-5264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4259 S Berkeley Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606533030",
            "country_code": "US",
            "telephone_number": "773-268-7600",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 N Kostner Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606511610",
            "country_code": "US",
            "telephone_number": "312-216-8020",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606514100",
            "country_code": "US",
            "telephone_number": "773-826-3450",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132121",
            "country_code": "US",
            "telephone_number": "773-878-8098",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2844 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606187401",
            "country_code": "US",
            "telephone_number": "773-664-3349",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4829 S Cottage Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606151600",
            "country_code": "US",
            "telephone_number": "773-548-1170",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 E 50th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606152620",
            "country_code": "US",
            "telephone_number": "773-358-6767",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112999",
            "country_code": "US",
            "telephone_number": "312-741-8554",
            "fax_number": "312-337-5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEAR NORTH HEALTH SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "MVUDUDU",
        "authorized_official_first_name": "CUSH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "312-337-1073"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Near North Health Service Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Near North Health Service Corporation",
            "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 Feb 2, 2023; 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.