NPIMap

Organization Active NPI

Chicago Family Health Center, Inc.

  • Community Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1730436452
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
149015413 Issued in IL
Legal business name
CHICAGO FAMILY HEALTH CENTER, INC.
Practice address
3963 W Belmont Ave
242
Chicago, IL 60618-5149
Phone
(773) 592-0696
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Mr. Robert Maziarka
Title
Chief Financial Officer
Phone
(773) 768-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 149015413 IL Primary

Addresses

Primary practice location

3963 W Belmont Ave
242
Chicago, IL 60618-5149

Mailing address

3963 W Belmont Ave
242
Chicago, IL 60618-5149
Phone (773) 592-0696

National Provider Directory

National Provider Directory
Tax ID family
Chicago Family Health Center - Es18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1730436452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 W BELMONT AVE",
            "address_2": "242",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185149",
            "telephone_number": "773-592-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 W BELMONT AVE",
            "address_2": "242",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185149",
            "telephone_number": "773-592-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "MAZIARKA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "773-768-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "IL",
            "license": "149015413",
            "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 Aug 13, 2012; 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.