NPIMap

Organization Active NPI

Northriver MHC

  • Public Health or Welfare Agency
  • Chicago, IL
National Provider Identifier
1477833838
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
390200000X Issued in IL
Legal business name
NORTHRIVER MHC
Practice address
5801 N Pulaski Rd
Chicago, IL 60646-6007
Phone
(312) 744-1906
NPI assigned
Aug 17, 2011
Last updated
Aug 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mel DavidNPI 1295041903
Title
Director
Phone
(312) 744-1906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 390200000X IL Primary

Addresses

Primary practice location

5801 N Pulaski Rd
Chicago, IL 60646-6007

Mailing address

5801 N Pulaski Rd
Chicago, IL 60646-6007

National Provider Directory

National Provider Directory
Tax ID family
Roseland Neighborhood63 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1477833838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466007",
            "telephone_number": "312-744-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIVER MHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-744-1906"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "390200000X",
            "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 Aug 17, 2011; 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.