NPIMap

Organization Active NPI

Southeast Senior Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1669650800
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHEAST SENIOR CENTER
Practice address
1767 E 79TH St
Chicago, IL 60649-4617
Phone
(312) 747-0189
NPI assigned
Feb 8, 2008
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 Primary

Addresses

Primary practice location

1767 E 79TH St
Chicago, IL 60649-4617

Mailing address

1767 E 79TH St
Chicago, IL 60649-4617
Phone (312) 747-0189

National Provider Directory

National Provider Directory
Tax ID family
Austin Satellite Senior Center63 organizations share this tax ID, including this one
Part of
Austin Satellite Senior Center

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

1767 E 79th St
Chicago, IL 60649
Phone (312) 747-0189

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1669650800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606494617",
            "telephone_number": "312-747-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606494617",
            "telephone_number": "312-747-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SENIOR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO DEPARTMENT OF SENIOR SERVICES",
        "enumeration_date": "2008-02-08",
        "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": 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 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.