Active NPI
The Comprehensive Korean Self-Help Community Center
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1427224286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6063001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- The Children's Place Home Health Association
- The Chiropractic Way S.C.
- The Circle El Circulo of the Society of Helpers (The Circle of the Society of Helpers)
- The Clare at Water Tower
- The Clare Propco LLC (Terraces at The Clare)
- The Connected Self PLLC
- The Connection Nook Therapy Practice
- The Cornerstone Recovering Community
- The Cornerstone Recovering Community
- The Cornerstone Recovering Community
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.