NPIMap

Organization Active NPI

City of Chicago

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1427322155
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CITY OF CHICAGO
Practice address
4958 W Madison St
Chicago, IL 60644-3541
Phone
(312) 746-4871
Fax
(312) 746-4637
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mr. Antonio Beltran
Title
First Deputy Commissioner
Phone
(312) 747-9878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

4958 W Madison St
Chicago, IL 60644-3541

Mailing address

4958 W Madison St
Chicago, IL 60644-3541
Phone (312) 746-4871

Other names 1

  • Chicago Department of Public Health South Austin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin Satellite Senior Center63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4958 W Madison St
Chicago, IL 60644
Phone (312) 746-4870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1427322155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606443541",
            "telephone_number": "312-746-4871",
            "fax_number": "312-746-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606443541",
            "telephone_number": "312-746-4871",
            "fax_number": "312-746-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "FIRST DEPUTY COMMISSIONER",
        "authorized_official_telephone_number": "312-747-9878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Department of Public Health South Austin",
            "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 Feb 27, 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.