City of Chicago

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CITY OF CHICAGO

Doing business as

Chicago Department of Public Health

Practice address

641 W 63Rd St
Chicago, IL 60621-2032

Phone

(312) 747-7831

Fax

(312) 747-0292

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Matthew W. Beaudet

Title

First Deputy Commissioner

Phone

(312) 747-9889

Specialties & licenses 1

Addresses

Other names 1

• Chicago Department of Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Chicago

  dba City of Chicago Department of Public Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1073845848

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1194717330

  O20040303001160

  Same enrollment
• City of Chicago

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1194725192

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1194819623

  O20040303001160

  Same enrollment
• City of Chicago

  dba City of Chicago Department of Public Health

  • Public Health & General Preventive Medicine Physician
  • Chicago, IL
  • NPI 1194910125

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1245232628

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1417959800

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1477545614

  O20040303001160

  Same enrollment
• City of Chicago

  dba City of Chicago Department of Public Health

  • Public Health & General Preventive Medicine Physician
  • Chicago, IL
  • NPI 1518021153

  O20040303001160

  Same enrollment
• City of Chicago

  dba Chicago Department of Public Health

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1992797138

  O20040303001160

  Same enrollment
• Greater Lawn Mental Health Center

  dba City of Chicago Department of Public Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1760474993

  O20040303001160

  Same enrollment

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1871595256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STATE ST",
            "address_2": "REVENUE #200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043900",
            "telephone_number": "312-747-9443",
            "fax_number": "312-747-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212032",
            "telephone_number": "312-747-7831",
            "fax_number": "312-747-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "BEAUDET",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "FIRST DEPUTY COMMISSIONER",
        "authorized_official_telephone_number": "312-747-9889"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Chicago (Chicago Department of Public Health)
• City of Chicago (Chicago Department of Public Health South Austin)
• City of Chicago (Chicago Department of Public Health)
• City of Chicago (City of Chicago Department of Public Health)
• City of Chicago (Dept of Public Health)
• City of Chicago (Chicago Department of Public Health)
• City of Chicago (Chicago Department of Public Health)
• City of Chicago Dep. of Public Health
• City of Chicago Department of Mental Health
• City of Chicago Department of Mental Health

• Community Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.