CHICAGO DEPARTMENT OF PUBLIC HEALTH (NPI# 1780676916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780676916 |
| Entity Type | Organization |
| Organization Name | CHICAGO DEPARTMENT OF PUBLIC HEALTH |
| Other Organization Name | CDPH |
| Practice Address |
Woodlawn Mental Health Center 6337 S Woodlawn Ave Chicago IL 60637 |
| Mailing Address |
333 South State Street Revenue #200 Chicago IL 60604 |
| Practice Telephone | 3127470059 |
| Practice Fax Number | 3127470088 |
| Mailing Telephone | 3127479443 |
| Mailing Fax Number | 3127479447 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SARAI M JACKSON (DIRECTOR OF REVENUE) |
| Authorized Official Telephone | 3127479443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CDPH | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636520 | Chicago Department of Public Health | Clinic/Center | 110 E 79th St, Chatham Mental Health Center, Chicago, IL 60619-2302 | 2005-08-15 |
| 1255333639 | Chicago Department of Public Health | Clinic/Center | 1140 W 79th St, Chicago, IL 60620-3029 | 2005-08-15 |
| 1760474993 | Chicago Department of Public Health | Clinic/Center | 4150 W 55th St, Greater Lawn Mental Health Center, Chicago, IL 60632-4242 | 2005-08-15 |
| 1225020456 | Chicago Department of Public Health | Clinic/Center | 1201 S Campbell Ave, Lawndale Mental Health Center, Chicago, IL 60608-1013 | 2005-08-15 |
| 1275525412 | Chicago Department of Public Health | Clinic/Center | 4314 S Cottage Grove Ave, Greater Grand Mental Health Center, Chicago, IL 60653-3514 | 2005-08-15 |
| 1598757726 | Chicago Department of Public Health | Clinic/Center | Roseland Mental Health Center, 28 E 112th Place, Chicago, IL 60628 | 2005-08-15 |
| 1407848633 | Chicago Department of Public Health | Clinic/Center | Northwest Mental Health Center, 2354 N Milwaukee, Chicago, IL 60647 | 2005-08-15 |
| 1134111362 | Chicago Department of Public Health | Clinic/Center | North River Mental Health Center, 5801 N Pulaski, Chicago, IL 60646 | 2005-08-15 |
| 1316939549 | Chicago Department of Public Health | Clinic/Center | Northtown/rogerspark Mental Health, 1607 W Howard St, Chicago, IL 60626 | 2005-08-15 |
| 1184616328 | Chicago Department of Public Health | Clinic/Center | Back of The Yards Mental Health Center, 4313 S Ashland, Chicago, IL 40609 | 2005-08-15 |
| Street Address |
WOODLAWN MENTAL HEALTH CENTER 6337 S WOODLAWN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.