NPIMap

Organization Active NPI

Auburn Gresham Satellite Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1548438450
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AUBURN GRESHAM SATELLITE CENTER
Practice address
1040 W. 79TH Street
Chicago, IL 60620
Phone
(312) 744-4016
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CHICAGO DEPARTMENT OF SENIOR SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Joyce Gallagher
Title
Commissioner
Phone
(312) 744-5770

Specialties & licenses 1

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

Addresses

Primary practice location

1040 W. 79TH Street
Chicago, IL 60620

Mailing address

1040 W. 79TH Street
Chicago, IL 60620
Phone (312) 744-4016

National Provider Directory

National Provider Directory
Tax ID family
Chicago Dept of Health63 organizations share this tax ID, including this one
Part of
Chicago Dept of Health

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

1040 W 79th St
Chicago, IL 60620
Phone (312) 744-4016

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1548438450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W. 79TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "312-744-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W. 79TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "312-744-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN GRESHAM SATELLITE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO DEPARTMENT OF SENIOR SERVICES",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "312-744-5770"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "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 Feb 13, 2008; 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.