NPIMap

Organization Active NPI

Sacred Circles Health Initiative

  • Community Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1720467798
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SACRED CIRCLES HEALTH INITIATIVE
Practice address
2020 W Harrison St
Chicago, IL 60612-3741
Phone
(312) 572-4539
NPI assigned
May 23, 2015
Organization subpart
Yes
Parent organization
QUANTUM POLICY RESEARCH INSTITUEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2015

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

Authorized official

Name
Dr. Glenn Harrison, M.D.
Title
Owner
Phone
(773) 717-6759

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2020 W Harrison St
Chicago, IL 60612-3741

Mailing address

PO Box 12002
Chicago, IL 60612-0002
Phone (773) 717-6759

National Provider Directory

National Provider Directory
Part of
Quantum Policy Research Institute

NPI Registry JSON

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

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432339200000",
    "number": "1720467798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12002",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606120002",
            "telephone_number": "773-717-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123741",
            "telephone_number": "312-572-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED CIRCLES HEALTH INITIATIVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUANTUM POLICY RESEARCH INSTITUE",
        "enumeration_date": "2015-05-23",
        "last_updated": "2015-05-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-717-6759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 23, 2015; 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.