Organization Active NPI

Community Integrative Health Network

  • Community/Behavioral Health Agency
  • Hazel Crest, IL
National Provider Identifier
1417217332
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY INTEGRATIVE HEALTH NETWORK
Practice address
3330 W 177TH St
Suite 1-F
Hazel Crest, IL 60429-2184
Phone
(630) 360-2446
Fax
(708) 799-1889
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Earnest Webb, PH.D
Title
President
Phone
(630) 360-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary

Addresses

Primary practice location

3330 W 177TH St
Suite 1-F
Hazel Crest, IL 60429-2184

Mailing address

3330 W 177TH St
Suite 1-F
Hazel Crest, IL 60429-2184
Phone (630) 360-2446

National Provider Directory

National Provider Directory

Locations

3330 W 177th St
Ste 1F
Hazel Crest, IL 60429
Phone (708) 745-3040

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1417217332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 1-F",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "630-360-2446",
            "fax_number": "708-799-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 1-F",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "630-360-2446",
            "fax_number": "708-799-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTEGRATIVE HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "EARNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-360-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.