NPIMap

Organization Active NPI

Infant Welfare Society of Chicago

Doing business as IWS Family Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1497872543
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
INFANT WELFARE SOCIETY OF CHICAGO
Doing business as
IWS Family Health
Practice address
3600 W Fullerton Ave
Chicago, IL 60647
Phone
(773) 782-2800
Fax
(773) 782-5042
NPI assigned
Mar 23, 2007
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Heidi Ortolaza-Alvear
Title
Ceo
Phone
(773) 782-5023

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3600 W Fullerton Ave
Chicago, IL 60647

Mailing address

3600 W Fullerton Ave
Chicago, IL 60647-2319
Phone (773) 782-2800

Other names 1

  • IWS Family Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190409000984 IL Part B Supplier - Clinic/Group Practice 6800137407 Receives reassigned benefits from 22 practitioners
Practice locations: Chicago, IL
O20201224000195 IL Part A Provider - Federally Qualified Health Center (FQHC) 6800137407 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497872543. Details of each certification follow.

Federally qualified health center certification: CCN 781946

Legal name
INFANT WELFARE SOCIETY OF CHICAGO
Doing business as
IWS FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 22, 2020
Last certification
Dec 22, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1911 in IL
Enrollment address
3600 W Fullerton Ave
Chicago, IL 60647-2319

National Provider Directory

National Provider Directory

Locations

3600 W Fullerton Ave
Chicago, IL 60647
Phone (773) 782-2800

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard D Raskin Individual Corporate DirectorPresident Jul 1, 2015
Tomitra Latimer Individual Corporate DirectorBoard Member Jul 1, 2018
Edward Rickert Individual Corporate OfficerPresident Jul 1, 2019
Carolyn Clift Individual Corporate OfficerSecretary Jan 1, 2014
Angela Dowell Individual Corporate Director Jan 1, 2026
Xiomara Maldonado Individual Corporate Director Jul 1, 2020
Heidi Ortolaza-Alvear Individual Corporate OfficerChief Executive Officer Sep 3, 2024
Linda Ramirez Individual Corporate Director Jul 1, 2024
Adonna Roberts Individual Corporate DirectorBoard Member Jul 1, 2020
Evelyn Sanchez Individual Corporate Director Jun 1, 2025
Maricela Robles Individual Corporate DirectorBoard Member Jul 1, 2019
Mary Christine Davis Individual Contracted Managing Employee Jul 1, 2024
Elizabeth Hennessy Individual Corporate OfficerTreasurer Jul 1, 2014
Jose Hernandez Individual Corporate DirectorBoard Member Jul 1, 2019
Karen L Williams Individual Corporate OfficerChief Financial Officer Sep 11, 2018
John Bryant Individual Corporate Director Jul 1, 2025
Timothy B Johnson Individual Corporate DirectorBoard Member Jul 1, 1982
Mary Claire Bennett Individual Corporate DirectorBoard Member Jul 1, 2019
Lesley Arroyo Individual Corporate DirectorBoard Member Jul 1, 2019
Jennifer Horan Individual Corporate Director Jul 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1497872543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472319",
            "telephone_number": "773-782-2800",
            "fax_number": "773-782-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-782-2800",
            "fax_number": "773-782-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANT WELFARE SOCIETY OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "ORTOLAZA-ALVEAR",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-782-5023"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IWS Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.