CHICAGO FAMILY HEALTH CENTER (NPI# 1932301439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932301439 |
| Entity Type | Organization |
| Organization Name | CHICAGO FAMILY HEALTH CENTER |
| Practice Address |
2320 E 93rd St Floor 1 Chicago IL 60617-3983 |
| Mailing Address |
9119 S Exchange Ave Chicago IL 60617-4225 |
| Practice Telephone | 7739671135 |
| Practice Fax Number | 7733741621 |
| Mailing Telephone | 7737685000 |
| Mailing Fax Number | 7733741621 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. AMELIA RODRIGUEZ (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7737685000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1769357 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CITY LICENSE | 1769357 | 01 |
| IL | CLIA LICENSE | 14D1059438 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154629848 | Chicago Family Health Center | Clinic/Center | 9119 S. Exchange, Chicago, IL 60617-4321 | 2011-03-04 |
| 1649721531 | Chicago Family Health Center | Clinic/Center | 9119 S Exchange Ave, Chicago, IL 60617-4225 | 2016-10-17 |
| 1720320849 | Chicago Family Health Center | Clinic/Center | 2938 E 89th St, Chicago, IL 60617-3244 | 2013-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHICAGO FAMILY HEALTH CENTER, INC. | 9119 S Exchange Ave, Chicago, IL 60617-4225 |
| Street Address |
2320 E 93RD ST FLOOR 1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545937 | Ken R Richards | Specialist | 2320 E 93rd St, Trinity Hospital, Chicago, IL 60617-3983 | 2005-08-19 |
| 1972151512 | Lauren Jennifer Wishne | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-27 |
| 1932755105 | Erin Hill | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-14 |
| 1154980001 | Nathan Duane Warner | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-06-12 |
| 1740749779 | Alec Saadi Colson | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-03-19 |
| 1710452065 | Sherryl Felice Smith-colbert | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1497220743 | Kenisha Daniels | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1396229019 | Amy Elizabeth Spreitzer | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-09-18 |
| 1770072340 | Shawndra L Ferrell | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-05-08 |
| 1396258513 | Rosie L. Bernard | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
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| 1699193409 | Kenya R Thomas | General Practice | 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 | 2014-03-31 |
| 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.