COMMUNITYHEALTH (NPI# 1295947430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295947430 |
| Entity Type | Organization |
| Organization Name | COMMUNITYHEALTH |
| Practice Address |
2611 W Chicago Ave Chicago IL 60622-4519 |
| Practice Telephone | 7733959901 |
| Practice Fax Number | 7733959902 |
| Mailing Telephone | 7733959901 |
| Mailing Fax Number | 7733959902 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TONY BONGIORNO (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 7733959901 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
========= | IL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITYHEALTH | 2611 W Chicago Ave, Chicago, IL 60622-4519 |
| Street Address |
2611 W CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073012936 | Hollis S Light | Physical Therapist | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2018-02-06 |
| 1770901605 | Magda Saez | Registered Nurse | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2014-03-28 |
| 1316364433 | Rachel Bennett | Registered Nurse | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2014-03-26 |
| 1972929883 | Mara Michaud | Pharmacist | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2014-03-16 |
| 1831456680 | Suzanne Martha Flood | Nurse Practitioner | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2012-04-18 |
| 1366687303 | Babs Waldman | Internal Medicine | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2008-12-04 |
| 1417118613 | Emily Marie Hendel | Nurse Practitioner | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2008-06-19 |
| 1255519310 | Carol Krohm | Family Medicine | 2611 W Chicago Ave, Chicago, IL 60622 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499573 | Nurse Now LLC | Clinic/Center | 2901 S Michigan Ave Apt 406, Chicago, IL 60616-3297 | 2020-05-26 |
| 1316356850 | The Night Ministry | Clinic/Center | 4711 N Ravenswood Ave, Chicago, IL 60640-4407 | 2014-08-08 |
| 1104134915 | Mamanatandathernizampc. | Clinic/Center | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 |
| 1962664268 | Jil Medical Consultant | Clinic/Center | 5500 S Damen Ave, Chicago, IL 60636-1107 | 2008-06-27 |
| 1447418017 | Health Department | Clinic/Center | 5400 S Hyde Park Blvd Apt D2, Chicago, IL 60615-5852 | 2008-05-29 |
| 1649399106 | Circle Family Healthcare Network, Inc | Clinic/Center | 115 Parkside, Chicago, IL 60644-3040 | 2007-03-28 |
| 1194819623 | City of Chicago | Clinic/Center | South Lawndale Nhc, 3059 W 26th Street, Chicago, IL 66023 | 2006-10-02 |
| 1194817809 | New Hope Community Service | Clinic/Center | 2011 E 75th St Ste 110, Chicago, IL 60649-3646 | 2006-09-29 |
| 1871595256 | City of Chicago | Clinic/Center | 641 W 63rd St, Chicago, IL 60621-2032 | 2005-08-15 |
| 1194717330 | City of Chicago | Clinic/Center | South Chicago, 2938 E 89th Street, Chicago, IL 60617 | 2005-08-15 |
| Find all providers in CHICAGO | ||||
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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.