Organization Active NPI

The Comprehensive Korean Self-Help Community Center

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1427224286
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6063001 Issued in IL
Legal business name
THE COMPREHENSIVE KOREAN SELF-HELP COMMUNITY CENTER
Practice address
4934 N Pulaski Rd
Chicago, IL 60630-2813
Phone
(773) 545-8348
Fax
(773) 545-0054
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joong Kyun Shin
Title
Exective Director
Phone
(773) 545-8348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6063001 IL Primary

Addresses

Primary practice location

4934 N Pulaski Rd
Chicago, IL 60630-2813

Mailing address

4934 N Pulaski Rd
Chicago, IL 60630-2813
Phone (773) 545-8348

National Provider Directory

National Provider Directory

Locations

4934 N Pulaski Rd
Chicago, IL 60630
Phone (773) 545-8348

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427224286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302813",
            "telephone_number": "773-545-8348",
            "fax_number": "773-545-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302813",
            "telephone_number": "773-545-8348",
            "fax_number": "773-545-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMPREHENSIVE KOREAN SELF-HELP COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JOONG",
        "authorized_official_middle_name": "KYUN",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-545-8348"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "6063001",
            "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 Jul 21, 2022; 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.