CHRISTIAN COMMUNITY HEALTH CENTER (NPI# 1396078374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396078374 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COMMUNITY HEALTH CENTER |
| Practice Address |
1701 W Monterey Ave Chicago IL 60643-4257 |
| Mailing Address |
Po Box 288080 Chicago IL 60628-8080 |
| Practice Telephone | 7732335850 |
| Practice Fax Number | 7732334055 |
| Mailing Telephone | 7732334100 |
| Mailing Fax Number | 7732334055 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-12-04 |
| Authorized Official Name | VIRGIL TOLBERT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7732334100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750619680 | Christian Community Health Center | Clinic/Center | 2320 Thornton Lansing Rd, Lansing, IL 60438-2116 | 2009-12-04 |
| 1750757449 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2015-08-17 |
| 1043570310 | Christian Community Health Center | Internal Medicine | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2012-05-21 |
| 1306106679 | Christian Community Health Center | Obstetrics & Gynecology | 9718 S Halsted St, Chicago, IL 60628-1007 | 2012-05-21 |
| 1174853410 | Christian Community Health Center | Clinic/Center | 16405 Frontage Rd, Oak Forest, IL 60452-4611 | 2010-01-08 |
| 1902064934 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-05-27 |
| 1477726453 | Christian Community Health Center | Clinic/Center | 9718 S Halsted St, Chicago, IL 60628-1007 | 2008-04-10 |
| 1780857219 | Christian Community Health Center | Clinic/Center | 364 Torrence Ave, Calumet City, IL 60409-1902 | 2008-04-04 |
| 1912170457 | Christian Community Health Center | Clinic/Center | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-04-04 |
| 1790888238 | Christian Community Health Center | Clinic/Center | 9718 S Halsted, Chicago, IL 60628 | 2006-09-07 |
| Street Address |
1701 W MONTEREY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240888 | Dong Joon Chung | Family Medicine | 1701 W Monterey Ave, Chicago, IL 60643-4257 | 2006-01-23 |
| 1689163875 | Vascular Access Centers of Illinois At Morgan Park, LLC | Clinic/Center | 1701 W Monterey Ave, Chicago, IL 60643-4257 | 2018-05-03 |
| 1992171326 | Cynthia Hammond | Nurse Practitioner | 1701 W Monterey Ave, #7, Chicago, IL 60643-4257 | 2015-08-19 |
| 1093148397 | Vanessa Howard | Nurse Practitioner | 1701 W Monterey Ave, Suite 4, Chicago, IL 60643-4257 | 2013-08-10 |
| 1922364918 | Mary Dean-onayemi,m.d. | Clinic/Center | 1701 W Monterey Ave, Suite 11, Chicago, IL 60643-4257 | 2012-04-04 |
| 1225262926 | Valerie C Walker | Internal Medicine | 1701 W Monterey Ave, Suite 1, Chicago, IL 60643-4257 | 2009-05-08 |
| 1730365586 | Claudette Marie Macklin | Internal Medicine | 1701 W Monterey Ave, Suite 4, Chicago, IL 60643-4257 | 2008-01-10 |
| 1306045646 | Veeda O Landeras | Internal Medicine | 1701 W Monterey Ave, Chicago, IL 60643-4257 | 2007-07-17 |
| 1750591566 | Christine A. Jarrett | Physical Therapist | 1701 W Monterey Ave, Ste #1, Chicago, IL 60643-4257 | 2007-05-23 |
| 1932314499 | Donald Amuh Md Ltd | Internal Medicine | 1701 W Monterey Ave, Ste 1, Chicago, IL 60643-4257 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499573 | Nurse Now LLC | Clinic/Center | 2901 S Michigan Ave Apt 406, Chicago, IL 60616-3297 | 2020-05-26 |
| 1316356850 | The Night Ministry | Clinic/Center | 4711 N Ravenswood Ave, Chicago, IL 60640-4407 | 2014-08-08 |
| 1104134915 | Mamanatandathernizampc. | Clinic/Center | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 |
| 1962664268 | Jil Medical Consultant | Clinic/Center | 5500 S Damen Ave, Chicago, IL 60636-1107 | 2008-06-27 |
| 1447418017 | Health Department | Clinic/Center | 5400 S Hyde Park Blvd Apt D2, Chicago, IL 60615-5852 | 2008-05-29 |
| 1295947430 | Communityhealth | Clinic/Center | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2007-05-03 |
| 1649399106 | Circle Family Healthcare Network, Inc | Clinic/Center | 115 Parkside, Chicago, IL 60644-3040 | 2007-03-28 |
| 1194819623 | City of Chicago | Clinic/Center | South Lawndale Nhc, 3059 W 26th Street, Chicago, IL 66023 | 2006-10-02 |
| 1194817809 | New Hope Community Service | Clinic/Center | 2011 E 75th St Ste 110, Chicago, IL 60649-3646 | 2006-09-29 |
| 1871595256 | City of Chicago | Clinic/Center | 641 W 63rd St, Chicago, IL 60621-2032 | 2005-08-15 |
| 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.