CHICAGO DEPARTMENT OF PUBLIC HEALTH (NPI# 1093715237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093715237 |
| Entity Type | Organization |
| Organization Name | CHICAGO DEPARTMENT OF PUBLIC HEALTH |
| Other Organization Name | CDPH |
| Practice Address |
333 S State St Revenue #200 Chicago IL 60604-3900 |
| Practice Telephone | 3127479443 |
| Practice Fax Number | 3127479447 |
| Mailing Telephone | 3127479443 |
| Mailing Fax Number | 3127479447 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SARAI M JACKSON (DIRECTOR OF REVENU) |
| 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 |
| 1780676916 | Chicago Department of Public Health | Clinic/Center | Woodlawn Mental Health Center, 6337 S Woodlawn Ave, Chicago, IL 60637 | 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 |
| Street Address |
333 S STATE ST REVENUE #200 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60604-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114471075 | Joyce Morris | Technician, Health Information | 333 S State St, Room 200, Chicago, IL 60604-3900 | 2016-08-09 |
| 1710321534 | Jittaun Yvette Bobo | Case Manager/Care Coordinator | 333 S State St, Chicago, IL 60604-3900 | 2013-04-23 |
| 1417232992 | Monique Shaunta Franklin | Counselor | 333 S State St, Second Floor, Chicago, IL 60604-3900 | 2011-10-17 |
| 1366724692 | Anhelecia Marie Williams | Counselor | 333 S State St, Chicago, IL 60604-3900 | 2011-09-13 |
| 1538477260 | City of Chicago | Preferred Provider Organization | 333 S State St, Chicago, IL 60604-3900 | 2010-09-15 |
| 1831405612 | Anne Bradley | Counselor | 333 S State St, Chicago, IL 60604-3900 | 2010-08-31 |
| 1972815488 | Marie Richard-jackson | Social Worker | 333 S State St, Chicago, IL 60604-3900 | 2010-07-13 |
| 1447562897 | Bonnie Gail Bluestein | Counselor | 333 S State St, Chicago, IL 60604-3900 | 2010-07-13 |
| 1710299300 | Jeremy M. Raven | Counselor | 333 S State St, 2nd, Chicago, IL 60604-3900 | 2010-07-12 |
| 1073825808 | Armando Posada | Counselor | 333 S State St, Chicago, IL 60604-3900 | 2010-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
| 1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
| 1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
| 1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
| 1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
| 1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
| 1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
| 1700162583 | Tracy Bisterfeldt | Psychologist | 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604 | 2011-10-25 |
| 1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
| 1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
| Find all providers in zip 60604 | ||||
| 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.