CHRISTIAN COMMUNITY HEALTH CENTER (NPI# 1043570310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043570310 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COMMUNITY HEALTH CENTER |
| Practice Address |
364 Torrence Ave Calumet City IL 60409-1902 |
| Mailing Address |
Po Box 288080 Chicago IL 60628-8080 |
| Practice Telephone | 7732334100 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | MR. KENNETH BURNETT (CEO) |
| Authorized Official Telephone | 7732334100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750619680 | Christian Community Health Center | Clinic/Center | 2320 Thornton Lansing Rd, Lansing, IL 60438-2116 | 2009-12-04 |
| 1750757449 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2015-08-17 |
| 1306106679 | Christian Community Health Center | Obstetrics & Gynecology | 9718 S Halsted St, Chicago, IL 60628-1007 | 2012-05-21 |
| 1174853410 | Christian Community Health Center | Clinic/Center | 16405 Frontage Rd, Oak Forest, IL 60452-4611 | 2010-01-08 |
| 1396078374 | Christian Community Health Center | Clinic/Center | 1701 W Monterey Ave, Chicago, IL 60643-4257 | 2009-09-09 |
| 1902064934 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-05-27 |
| 1477726453 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-04-10 |
| 1780857219 | Christian Community Health Center | Clinic/Center | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2008-04-04 |
| 1912170457 | Christian Community Health Center | Clinic/Center | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-04-04 |
| 1790888238 | Christian Community Health Center | Clinic/Center | 9718 S Halsted, Chicago, IL 60628 | 2006-09-07 |
| Street Address |
364 TORRENCE AVE |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 60409-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356459549 | Theisha Y Perkins | Pediatrics | 364 Torrence Ave, Calumet City, IL 60409 | 2006-08-28 |
| 1699330811 | Sujithra Reprakash | Physician Assistant | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2019-05-02 |
| 1457869992 | Rachel O Ilesanmi | Nurse Practitioner | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2018-01-18 |
| 1780857219 | Christian Community Health Center | Clinic/Center | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
| 1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
| 1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
| 1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
| 1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
| 1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
| 1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
| 1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
| 1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
| 1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
| Find all providers in zip 60409 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CALUMET CITY |
| Zip Code | 60409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.