NPIMap

Organization Active NPI

Centro de Salud Y Esperanza

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1386981264
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRO DE SALUD Y ESPERANZA
Practice address
2001 S California Ave
Suite 100
Chicago, IL 60608-2486
Phone
(773) 584-6133
NPI assigned
Jan 11, 2013
Organization subpart
Yes
Parent organization
CENTRO DE SALUD Y ESPERANZAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Daniel Fulwiler
Title
Ceo
Phone
(773) 584-6130

Specialties & licenses 1

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

Addresses

Primary practice location

2001 S California Ave
Suite 100
Chicago, IL 60608-2486

Mailing address

3059 W 26TH St
Chicago, IL 60623-4131

Other names 1

  • Esperanza Little Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Y Esperanza9 organizations share this tax ID, including this one
Part of
Centro de Salud Y Esperanza

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1386981264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-584-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD Y ESPERANZA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE SALUD Y ESPERANZA",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "FULWILER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-584-6130"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esperanza Little Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 6, 2013; 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.