CHICAGO DEPT OF PUBLIC HEALTH (NPI# 1194910125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194910125 |
| Entity Type | Organization |
| Organization Name | CHICAGO DEPT OF PUBLIC HEALTH |
| Practice Address |
2849 N Clark St Lakeview N H C Chicago IL 60657 |
| Mailing Address |
333 S State Street Revenue #200 Chicago Department of Public Health Chicago IL 60604 |
| Practice Telephone | 3127447448 |
| Practice Fax Number | 3127479447 |
| Mailing Telephone | 3127479443 |
| Mailing Fax Number | 3127479447 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | SARA M JACKSON (DIRECTOR OF REVENUE) |
| Authorized Official Telephone | 3127479443 |
| Authorized Official Credential | DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
2849 N CLARK ST LAKEVIEW N H C |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457776361 | Caroline Marie Jung | Preventive Medicine | 1817 W Berwyn Ave # 3, Chicago, IL 60640-1005 | 2014-02-28 |
| 1568690899 | Sargon Audisho | Preventive Medicine | 4143 N Claremont Ave, Apt 2, Chicago, IL 60618-2919 | 2009-06-25 |
| 1508071010 | Violeta P Dulanas | Preventive Medicine | 4958 W Madison St, Chicago, IL 60644-3541 | 2007-05-10 |
| 1073727400 | Lourdes Mella Hilao | Preventive Medicine | 4243 W Fullerton Ave, Chicago, IL 60639-2049 | 2007-05-08 |
| 1518021153 | Westside C.d.c | Preventive Medicine | 2160 W. Ogden, Westside C.d.c, Chicago, IL 60604 | 2006-12-20 |
| 1821159625 | 31st Std Clinic | Preventive Medicine | 530 E 31st St, Std 31st Street Clinic, Chicago, IL 60616-4008 | 2006-12-13 |
| 1699196980 | Arlene Hankinson | Preventive Medicine | 333 S State St Ste 200, Chicago, IL 60604-3946 | 2014-01-03 |
| 1528321254 | Juleigh Marie Nowinski Konchak | Preventive Medicine | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2012-06-18 |
| 1255637500 | Paul Eldon Savage | Preventive Medicine | 150 E Huron St, Suite 802, Chicago, IL 60611-2999 | 2011-02-03 |
| 1851694095 | Pamela Kimble | Preventive Medicine | 2133 W Lexington St, 2nd Floor, Chicago, IL 60612-3707 | 2010-12-09 |
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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.