Englewood Community Connection Outreach

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

ENGLEWOOD COMMUNITY CONNECTION OUTREACH

Practice address

7326 S Exchange Ave
Chicago, IL 60649-3408

Phone

(773) 885-2974

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Delores Taylor, FOUNDER

Title

President

Phone

(773) 885-2974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1366817017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162304",
            "telephone_number": "773-885-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493408",
            "telephone_number": "773-885-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD COMMUNITY CONNECTION OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-885-2974",
        "authorized_official_credential": "FOUNDER"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willette Marie England, FNP-BC
• Arlene Englander, MSW
• Engle Developmental Group
• Leslie S Engle
• Kristiana E Engler
• Englewood Community Outreach
• Englewood Dental Care
• Englewood Management Health, S.C.
• Englewood Pediatrics SC
• Englewood RX Pharmacy, Inc.

• Voluntary or Charitable Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.