NPIMap

Organization Active NPI

City of Chicago

  • Community Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1992797138
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CITY OF CHICAGO
Practice address
Roseland M.H.C.
200 E 115TH Street
Chicago, IL 60628
Phone
(312) 747-1090
Fax
(312) 744-1904
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

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

Addresses

Primary practice location

Roseland M.H.C.
200 E 115TH Street
Chicago, IL 60628

Mailing address

Chicago Department of Public Health
111 W Washington St, 4TH FL
Chicago, IL 60602
Phone (312) 747-9443

Other names 1

  • Chicago Department of Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303001160 IL Part B Supplier - Clinic/Group Practice 4486540929 Receives reassigned benefits from 1 practitioner
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1992797138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
            "address_2": "111 W WASHINGTON ST, 4TH FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "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": "ROSELAND M.H.C.",
            "address_2": "200 E 115TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "312-747-1090",
            "fax_number": "312-744-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-23",
        "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"
        }
    ]
}

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 Jun 12, 2025; 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.