HOWARD BROWN HEALTH CENTER


Address: 641 W 63rd St Bsmt, Chicago, IL 60621-2032
Phone: 7733881600

HOWARD BROWN HEALTH CENTER (NPI# 1154856870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154856870
Entity Type Organization
Organization Name HOWARD BROWN HEALTH CENTER
Other Organization Name HOWARD BROWN HEALTH 63RD ST ORAL HEALTH SERVICES
Practice Address 641 W 63rd St Bsmt
Chicago
IL 60621-2032
Mailing Address 4025 N Sheridan Rd
Chicago
IL 60613-2010
Practice Telephone 7733881600
Mailing Telephone 7733881600
Enumeration Date 2017-05-01
Last Update Date 2017-11-27
Authorized Official Name JOANNA MRUZ (BILLING MANAGER)
Authorized Official Telephone 7733888991
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Howard Brown Health 63rd St Oral Health Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427523125 Howard Brown Health Center Clinic/Center 3533 W North Ave Ste 1, Chicago, IL 60647-7573 2018-10-09
1417473851 Howard Brown Health Center Clinic/Center 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 2017-08-17
1912382227 Howard Brown Health Center Clinic/Center 6500 N Clark St, Chicago, IL 60626-4002 2015-07-28
1699109546 Howard Brown Health Center Clinic/Center 4009 N Broadway St, Chicago, IL 60613-2110 2013-08-28
1881913531 Howard Brown Health Center Community/Behavioral Health 3245 N. Halsted, Chicago, IL 60657 2010-05-20
1205344603 Howard Brown Health Center Clinic/Center 3948 N Sheridan Rd, Chicago, IL 60613-2935 2018-01-19
1740708858 Howard Brown Health Center Clinic/Center 734 W 47th St, Chicago, IL 60609-4411 2017-09-08
1356876387 Howard Brown Health Center Clinic/Center 5537 N Broadway St, Ste 101, Chicago, IL 60640-1405 2017-04-27
1710437991 Howard Brown Health Center Clinic/Center 1525 E 55th St, Chicago, IL 60615-5512 2016-10-11
1255791331 Howard Brown Health Center Clinic/Center 641 W 63rd St, Chicago, IL 60621-2032 2016-03-02

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Howard Brown Health Center 4025 N. Sheridan Road, Chicago, IL 60613

Office Location

Street Address 641 W 63RD ST BSMT
City CHICAGO
State IL
Zip Code 60621-2032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740803394 Conrad Care Incorporated Home Health 142 W . 62nd Street, Suite 203, Chicago, IL 60621 2020-05-18
1275068876 St. Bernard Hospital Ambulatory Care Clinic Clinic/Center 6307 S Stewart, Chicago, IL 60621 2017-04-21
1063954519 Created2careltd Secured Medical Transport (VAN) 5632 S. Emerald Ave, Chicago, IL 60621 2016-11-15
1932566023 Windycitywheelchairservice Technician, Other 6427 S Parnell Ave, Chicago, IL 60621 2016-01-21
1194127787 Aaa-1 Transportation Secured Medical Transport (VAN) 5740 S Emerald Ave, Chicago, IL 60621 2014-09-25
1871893859 Anuj Jain Family Medicine 6508 S Halsted Street, Chicago, IL 60621 2010-10-25
1750538104 Adolfo M. Maglaya, M.d., S.c. Internal Medicine 326 W. 64th St., Chicago, IL 60621 2008-08-27
1083882997 Englewood Satellite Senior Center Clinic/Center 657 W. 63rd St, Chicago, IL 60621 2008-02-13
1295952059 Carrington Radiology, S.c. Radiology St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 2007-04-20
1851427660 Dilipkumar Parikh Md Internal Medicine 324 West 64th St, Suite 216, Chicago, IL 60621 2007-02-26
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724390 Friend Family Health Center, Inc Clinic/Center 7355 S Jeffery Blvd, Chicago, IL 60649-3121 2020-06-11
1871117937 Primecare Community Health Inc Clinic/Center 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 2020-06-04
1407482219 Access Community Health Network Clinic/Center 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 2020-03-13
1427600345 The Board of Trustees of The University of Illinois Clinic/Center 6835 S Normal Blvd, Chicago, IL 60621-2535 2019-07-11
1114498540 Pcc Community Wellness Center Clinic/Center 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 2018-12-11
1427523125 Howard Brown Health Center Clinic/Center 3533 W North Ave Ste 1, Chicago, IL 60647-7573 2018-10-09
1336626936 Heartland International Health Center Clinic/Center 1631 W Jonquil Ter, Chicago, IL 60626-1103 2018-07-26
1760975304 Inner-city Muslim Action Network Clinic/Center 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 2018-06-08
1417473851 Howard Brown Health Center Clinic/Center 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 2017-08-17
1487193181 Mile Square Englewood/cook Satellite Health and Wellness Center Clinic/Center 8150 S Bishop St, Chicago, IL 60620-3854 2017-02-15
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Competitor

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City CHICAGO
Zip Code 60621

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Dataset Information

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.

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