NEAR NORTH HEALTH SERVICE CORPORATION (NPI# 1073594297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073594297 |
| Entity Type | Organization |
| Organization Name | NEAR NORTH HEALTH SERVICE CORPORATION |
| Other Organization Name | COTTAGE VIEW HEALTH CENTER |
| Practice Address |
4829 S Cottage Grove Ave Chicago IL 60615-1600 |
| Mailing Address |
1276 N Clybourn Ave Chicago IL 60610-2089 |
| Practice Telephone | 7735481170 |
| Practice Fax Number | 7735481404 |
| Mailing Telephone | 3123371073 |
| Mailing Fax Number | 3123377616 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | MRS. BERNEICE MILLS-THOMAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3123371073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cottage View Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659725133 | Near North Health Service Corporation | Clinic/Center | 4501 N Sheridan Rd, Chicago, IL 60640-5608 | 2016-04-20 |
| 1922237890 | Near North Health Service Corporation | Clinic/Center | 834 E 50th St, Chicago, IL 60615-2620 | 2009-07-13 |
| 1831170059 | Near North Health Service Corporation | Clinic/Center | 800 N Kedzie Ave, Chicago, IL 60651-4100 | 2005-11-07 |
| 1821079088 | Near North Health Service Corporation | Clinic/Center | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2005-11-07 |
| 1346221553 | Near North Health Service Corporation | Clinic/Center | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2005-11-07 |
| 1326514365 | Near North Health Service Corporation | Case Management | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2018-10-17 |
| 1720404494 | Near North Health Service Corporation | Clinic/Center | 1520 N Kostner Ave, Chicago, IL 60651-1610 | 2014-03-05 |
| 1871749473 | Near North Health Service Corporation | Clinic/Center | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2008-08-14 |
| 1417156043 | Near North Health Service Corporation | Clinic/Center | 4867 N Broadway, Chicago, IL 60614 | 2007-07-13 |
| Street Address |
4829 S COTTAGE GROVE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982140661 | Kelly Michelle Sauer | Nurse Practitioner | 4829 S Cottage Grove Ave, Chicago, IL 60615-1600 | 2017-01-18 |
| 1003830670 | Rhonda Yvette Gans | Family Medicine | 4829 S Cottage Grove Ave, Chicago, IL 60615-1600 | 2006-07-27 |
| 1831113059 | Irma L Jordan | Nurse Practitioner | 4829 S Cottage Grove Ave, Chicago, IL 60615-1600 | 2006-07-27 |
| 1427085000 | Zahida Mughal | Obstetrics & Gynecology | 4829 S Cottage Grove Ave, Chicago, IL 60615-1600 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
| 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.