Essential Health Support

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ESSENTIAL HEALTH SUPPORT

Practice address

1750 E 87TH St Ste 101
Chicago, IL 60617-2706

Phone

(872) 444-3420

Fax

(630) 566-3467

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Wilson, APRN

Title

Clinic Director

Phone

(872) 444-3420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1972235554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 S CRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173051",
            "telephone_number": "312-590-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E 87TH ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172706",
            "telephone_number": "872-444-3420",
            "fax_number": "630-566-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HEALTH SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "872-444-3420",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.