NEW HOPE COMMUNITY SERVICE CENTER (NPI# 1447819578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447819578 |
| Entity Type | Organization |
| Organization Name | NEW HOPE COMMUNITY SERVICE CENTER |
| Practice Address |
2559 W 79th St Chicago IL 60652-1751 |
| Practice Telephone | 7737379555 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | CLAUDIA M BODLEY (MEDICAL BILLING MANAGEMENT) |
| Authorized Official Telephone | 7737379555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0001356519714 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1023674595 | New Hope Community Service Center | Pharmacy | 2559 W 79th St, Chicago, IL 60652-1751 | 2019-05-10 |
| 1497272884 | New Hope Community Service Center | Clinic/Center | 2559 W 79th St, Chicago, IL 60652-1751 | 2017-08-25 |
| 1356519714 | New Hope Community Service Center | Community/Behavioral Health | 2559 W 79th St, Chicago, IL 60652-1751 | 2008-02-19 |
| Street Address |
2559 W 79TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972569556 | Masie Voy Isabell | Family Medicine | 2559 W 79th St, Chicago, IL 60652-1751 | 2006-04-24 |
| 1023674595 | New Hope Community Service Center | Pharmacy | 2559 W 79th St, Chicago, IL 60652-1751 | 2019-05-10 |
| 1497272884 | New Hope Community Service Center | Clinic/Center | 2559 W 79th St, Chicago, IL 60652-1751 | 2017-08-25 |
| 1649794736 | Brenda Joyce Golden | Counselor | 2559 W 79th St, Chicago, IL 60652-1751 | 2017-07-31 |
| 1063642841 | New Hope Community Sevice | Clinic/Center | 2559 W 79th St, Chicago, IL 60652-1751 | 2009-07-15 |
| 1356519714 | New Hope Community Service Center | Community/Behavioral Health | 2559 W 79th St, Chicago, IL 60652-1751 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 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.