LAWNDALE CHRISTIAN HEALTH CENTER (NPI# 1679680235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679680235 |
| Entity Type | Organization |
| Organization Name | LAWNDALE CHRISTIAN HEALTH CENTER |
| Other Organization Name | LAWNDALE CHRISTIAN HEALTH CENTER PHARMACY |
| Practice Address |
3860 W Ogden Ave Chicago IL 60623-2460 |
| Practice Telephone | 8725883256 |
| Practice Fax Number | 8725883251 |
| Mailing Telephone | 8725883256 |
| Mailing Fax Number | 8725883251 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | CHRISTOPHER SHAH (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8725883256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054013315 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2023743 | 01 |
| Other Name | Type Code |
|---|---|
| LAWNDALE CHRISTIAN HEALTH CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831590421 | Lawndale Christian Health Center | Psychologist | 3219 West Carroll Avenue, Chicago, IL 60624-2031 | 2014-09-15 |
| 1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
| 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 |
| 1245289214 | Lawndale Christian Health Center | Clinic/Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2006-05-08 |
| Street Address |
3860 W OGDEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517411 | Thomas D Huggett | Family Medicine | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2005-09-01 |
| 1730797754 | Carly Elaine Hodge | Student in an Organized Health Care Education/Training Program | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2020-07-15 |
| 1619504586 | Elisabeth D Lucien | Social Worker | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2020-03-23 |
| 1396386850 | Matthew Hussey | Psychologist | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-10-04 |
| 1396391926 | Nora Hernandez | Nurse Practitioner | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-08-09 |
| 1407412745 | Ying Chun Mei | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-05-13 |
| 1538722079 | Dennis Bourne | Counselor | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-04-19 |
| 1346709052 | Jeneal M Duff | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-03-13 |
| 1003380817 | Anna Tornquist | Counselor | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-01-15 |
| 1689144164 | Angela Mary Thomas | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623 | 2018-11-28 |
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|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
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| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1558994921 | Diaz Holdings, Inc. | Pharmacy | 3204 W Lawrence Ave, Chicago, IL 60625-5209 | 2020-02-13 |
| 1427698349 | Heena Vital Rx, Inc. | Pharmacy | 1525 E 55th St Ste 103, Chicago, IL 60615-5514 | 2020-01-08 |
| 1952944563 | Ameer Pharmacy Inc. | Pharmacy | 104 W 111th St, Chicago, IL 60628-4215 | 2019-10-26 |
| 1255981106 | Elsdon Pharmacy, Inc. | Pharmacy | 4254 W 55th St Ste 100, Chicago, IL 60632-4642 | 2019-09-12 |
| 1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
| 1245703982 | Luna Pharmacy At Madison LLC | Pharmacy | 3171 W Madison St Ste 2, Chicago, IL 60612-1809 | 2019-01-04 |
| 1427534742 | Genoa Healthcare, LLC | Pharmacy | 4318 S State St Ste 26, Chicago, IL 60609-3701 | 2018-07-19 |
| 1356843072 | Advanced Care Rx LLC | Pharmacy | 11422 S Western Ave Ste 101, Chicago, IL 60643-4120 | 2018-03-08 |
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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.