Active NPI
West Town Satellite Center
- Clinic/Center
- Chicago, ID
National Provider Identifier
1366610669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WEST TOWN SATELLITE CENTER
- Practice address
- 1613 W. Chicago
Chicago, ID 60622 - Phone
- (312) 744-4016
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- Organization subpart
- Yes
- Parent organization
- CHICAGO DEPARTMENT OF SENIOR SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce Gallagher
- Title
- Commissioner
- Phone
- (312) 744-5770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1613 W. Chicago
Chicago, ID 60622
Mailing address
1613 W. Chicago
Chicago, ID 60622
Phone (312) 744-4016
National Provider Directory
National Provider Directory- Tax ID family
- Chicago Dept of Health
- Part of
- Chicago Dept of Health
Locations
1613 W Chicago Ave
Chicago, IL 60622
Phone (312) 744-4016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1366610669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 W. CHICAGO",
"city": "CHICAGO",
"state": "ID",
"postal_code": "60622",
"telephone_number": "312-744-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 W. CHICAGO",
"city": "CHICAGO",
"state": "ID",
"postal_code": "60622",
"telephone_number": "312-744-4016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TOWN SATELLITE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHICAGO DEPARTMENT OF SENIOR SERVICES",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "COMMISSIONER",
"authorized_official_telephone_number": "312-744-5770"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.