NPIMap

Organization Active NPI

Communityhealth

  • Community Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1295947430
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
COMMUNITYHEALTH
Practice address
2611 W Chicago Ave
Chicago, IL 60622-4519
Phone
(773) 395-9901
Fax
(773) 395-9902
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tony Bongiorno, PHARMD
Title
Director of Pharmacy Operations
Phone
(773) 395-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X IL Primary

Addresses

Primary practice location

2611 W Chicago Ave
Chicago, IL 60622-4519

Mailing address

2611 W Chicago Ave
Chicago, IL 60622-4519
Phone (773) 395-9901

National Provider Directory

National Provider Directory

Locations

2611 W Chicago Ave
Chicago, IL 60622
Phone (773) 395-9900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3547/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295947430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224519",
            "telephone_number": "773-395-9901",
            "fax_number": "773-395-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224519",
            "telephone_number": "773-395-9901",
            "fax_number": "773-395-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BONGIORNO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "773-395-9901",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.