Organization Active NPI

Circle Family Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1326031998
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CIRCLE FAMILY HEALTHCARE NETWORK INC
Practice address
115 N Parkside Ave
Circle Family Healthcare Network Inc
Chicago, IL 60644-3040
Phone
(773) 379-1000
Fax
(773) 379-1342
NPI assigned
Aug 29, 2005
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
Christopher Jackson
Title
Cfo
Phone
(773) 379-1000

Specialties & licenses 1

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

Addresses

Primary practice location

115 N Parkside Ave
Circle Family Healthcare Network Inc
Chicago, IL 60644-3040

Mailing address

5002 W Madison St
Circle Family Healthcare Network Inc
Chicago, IL 60644-4127
Phone (773) 379-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326031998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 W MADISON ST",
            "address_2": "CIRCLE FAMILY HEALTHCARE NETWORK INC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444127",
            "telephone_number": "773-379-1000",
            "fax_number": "773-379-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N PARKSIDE AVE",
            "address_2": "CIRCLE FAMILY HEALTHCARE NETWORK INC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606443040",
            "telephone_number": "773-379-1000",
            "fax_number": "773-379-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE FAMILY HEALTHCARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-379-1000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "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.