Active NPI
Infant Welfare Society of Chicago
- Federally Qualified Health Center (FQHC)
- Chicago, IL
National Provider Identifier
1497872543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- INFANT WELFARE SOCIETY OF CHICAGO
- Practice address
- 3600 W Fullerton Ave
Chicago, IL 60647 - Phone
- (773) 782-2800
- Fax
- (773) 782-5042
- NPI assigned
- Mar 23, 2007
- 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
- Heidi Ortolaza-Alvear
- Title
- Ceo
- Phone
- (773) 782-5023
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Dentist | 122300000X | |||
| Optometrist | 152W00000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
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
- Corporation
- Incorporated
- Jul 1, 1911 in IL
- Enrollment address
- 3600 W Fullerton Ave
Chicago, IL 60647-2319
National Provider Directory
National Provider DirectoryLocations
6416 W Belmont Ave
Chicago, IL 60634
Phone (773) 725-5400
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard D Raskin | Corporate Director | Jul 1, 2015 | |
| Tomitra Latimer | Corporate Director | Jul 1, 2018 | |
| Edward Rickert | Corporate Officer | Jul 1, 2019 | |
| Carolyn Clift | Corporate Officer | Jan 1, 2014 | |
| Angela Dowell | Corporate Director | Jan 1, 2026 | |
| Xiomara Maldonado | Corporate Director | Jul 1, 2020 | |
| Heidi Ortolaza-Alvear | Corporate Officer | Sep 3, 2024 | |
| Linda Ramirez | Corporate Director | Jul 1, 2024 | |
| Adonna Roberts | Corporate Director | Jul 1, 2020 | |
| Evelyn Sanchez | Corporate Director | Jun 1, 2025 | |
| Maricela Robles | Corporate Director | Jul 1, 2019 | |
| Mary Christine Davis | Contracted Managing Employee | Jul 1, 2024 | |
| Elizabeth Hennessy | Corporate Officer | Jul 1, 2014 | |
| Jose Hernandez | Corporate Director | Jul 1, 2019 | |
| Karen L Williams | Corporate Officer | Sep 11, 2018 | |
| John Bryant | Corporate Director | Jul 1, 2025 | |
| Timothy B Johnson | Corporate Director | Jul 1, 1982 | |
| Mary Claire Bennett | Corporate Director | Jul 1, 2019 | |
| Lesley Arroyo | Corporate Director | Jul 1, 2019 | |
| Jennifer Horan | 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.
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
- Stephanie Ineman, MS, RDN, LDN
- Infant Jesus LLC
- Infant Welfare Society of Chgo
- Infant Welfare Society of Chicago
- Infant Welfare Society of Chicago
- Infant Welfare Society of Chicago
- Infectious Disease Consultants, LTD.
- Infectious Disease Specialists of Chicago
- Infinite Health and Wellness, LTD
- Infinite Holistic Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.