Organization Active NPI

Youth Service Project

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1578731501
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
YOUTH SERVICE PROJECT
Practice address
3942 W North Ave
Chicago, IL 60647-4639
Phone
(773) 772-6270
Fax
(773) 772-8755
NPI assigned
Feb 12, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Gina Zuniga-Baldwin III
Title
Executive Director
Phone
(773) 772-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X IL Primary

Addresses

Primary practice location

3942 W North Ave
Chicago, IL 60647-4639

Mailing address

3942 W North Ave
Chicago, IL 60647-4639
Phone (773) 772-6270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578731501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474639",
            "telephone_number": "773-772-6270",
            "fax_number": "773-772-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474639",
            "telephone_number": "773-772-6270",
            "fax_number": "773-772-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICE PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA-BALDWIN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-772-6270",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "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 Jul 21, 2022; 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.