Organization Active NPI

Chicago Family Health Center - Es

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1851633952
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHICAGO FAMILY HEALTH CENTER - ES
Practice address
10536 S Ewing Ave
Chicago, IL 60617-6219
Phone
(773) 768-5000
NPI assigned
Mar 27, 2013
Organization subpart
Yes
Parent organization
CHICAGO FAMILY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Warren Brodine
Title
Ceo
Phone
(773) 768-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

10536 S Ewing Ave
Chicago, IL 60617-6219

Mailing address

9119 S Exchange Ave
Chicago, IL 60617-4225

National Provider Directory

National Provider Directory
Tax ID family
Chicago Family Health C18 organizations share this tax ID, including this one
Part of
Chicago Family Health C

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": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1851633952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "telephone_number": "773-768-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FAMILY HEALTH CENTER - ES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO FAMILY HEALTH CENTER",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "BRODINE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-768-5000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "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 Mar 27, 2013; 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.