LAWNDALE CHRISTIAN HEALTH CENTER (NPI# 1366872061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366872061 |
| Entity Type | Organization |
| Organization Name | LAWNDALE CHRISTIAN HEALTH CENTER |
| Practice Address |
5122 S Archer Ave Chicago IL 60632-4508 |
| Mailing Address |
3860 W Ogden Ave Chicago IL 60623-2460 |
| Practice Telephone | 8725223560 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | KIWANI COOPER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8725883027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
209010903 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831590421 | Lawndale Christian Health Center | Psychologist | 3219 West Carroll Avenue, Chicago, IL 60624-2031 | 2014-09-15 |
| 1396986147 | Lawndale Christian Health Center | Clinic/Center | 5122 South Archer Avenue, Chicago, IL 60632-4205 | 2009-03-07 |
| 1326215450 | Lawndale Christian Health Center | Clinic/Center | 3517 W Arthington St, Chicago, IL 60624-4165 | 2008-05-08 |
| 1154598282 | Lawndale Christian Health Center | Clinic/Center | 2345 S Christiana Ave, Chicago, IL 60623-3217 | 2008-05-08 |
| 1225510902 | Lawndale Christian Health Center | Case Manager/Care Coordinator | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2018-08-30 |
| 1043715402 | Lawndale Christian Health Center | Clinic/Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2018-03-28 |
| 1619236692 | Lawndale Christian Health Center | Clinic/Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2012-05-10 |
| 1679680235 | Lawndale Christian Health Center | Pharmacy | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2006-08-23 |
| 1245289214 | Lawndale Christian Health Center | Clinic/Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2006-05-08 |
| Street Address |
5122 S ARCHER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255968160 | Luisa Elena Adame | Counselor | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2020-03-23 |
| 1134559784 | Lydia Colin | Nurse Practitioner | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
| 1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
| 1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
| 1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
| 1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
| 1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
| 1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
| Find all providers in zip 60632 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
| 1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
| 1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
| 1174803878 | Clear Ridge Wellness Center Ltd. | Clinic/Center | 6745 W 63rd St, Chicago, IL 60638-4003 | 2011-08-25 |
| 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.