Organization Active NPI

Devon Community Center Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1588250773
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DEVON COMMUNITY CENTER INC
Practice address
6228 N Claremont Ave Apt 2
Chicago, IL 60659-2968
Phone
(773) 524-1984
NPI assigned
Dec 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Mohammed Abdul Salam
Title
President
Phone
(773) 524-1984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6228 N Claremont Ave Apt 2
Chicago, IL 60659-2968

Mailing address

6228 N Claremont Ave Apt 2
Chicago, IL 60659-2968
Phone (773) 524-1984

National Provider Directory

National Provider Directory

Locations

6351 N Claremont Ave
Chicago, IL 60659

NPI Registry JSON

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1588250773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 N CLAREMONT AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592968",
            "telephone_number": "773-524-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 N CLAREMONT AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592968",
            "telephone_number": "773-524-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON COMMUNITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-12",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "SALAM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-524-1984"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "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 Jun 13, 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.