NPIMap

Organization Active NPI

Portage Park Satellite Senior Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1366610206
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PORTAGE PARK SATELLITE SENIOR CENTER
Practice address
4100 N Long Ave
Chicago, IL 60641-1346
Phone
(312) 744-9022
NPI assigned
Feb 13, 2008
Organization subpart
Yes
Parent organization
CHICAGO DEPARTMENT OF SENIOR SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Greta Ivers, MD, MPH
Title
Deputy Commissioner
Phone
(312) 744-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4100 N Long Ave
Chicago, IL 60641-1346

Mailing address

4100 N Long Ave
Chicago, IL 60641-1346
Phone (312) 744-9022

National Provider Directory

National Provider Directory
Tax ID family
Austin Satellite Senior Center63 organizations share this tax ID, including this one
Part of
Austin Satellite Senior Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4100 N Long Ave
Chicago, IL 60641
Phone (312) 744-9022

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1366610206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N LONG AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411346",
            "telephone_number": "312-744-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N LONG AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411346",
            "telephone_number": "312-744-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE PARK SATELLITE SENIOR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO DEPARTMENT OF SENIOR SERVICES",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "IVERS",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER",
        "authorized_official_telephone_number": "312-744-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Feb 13, 2008; 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.