22ND CENTURY HEALTHCARE, P.C. (NPI# 1558595272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558595272 |
| Entity Type | Organization |
| Organization Name | 22ND CENTURY HEALTHCARE, P.C. |
| Practice Address |
875 N Michigan Ave Suite 3100 Chicago IL 60611-1803 |
| Mailing Address |
3712 N Broadway St Suite 629 Chicago IL 60613-4235 |
| Practice Telephone | 7733625461 |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2009-05-09 |
| Authorized Official Name | BO HEADLAM (CEO) |
| Authorized Official Telephone | 7733625461 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
875 N MICHIGAN AVE SUITE 3100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407825276 | Sarah J Rose | Specialist | 875 N Michigan Ave, Suite 3300, Chicago, IL 60611-1803 | 2006-03-15 |
| 1669863874 | A Touch of Loving Care Inc | Home Infusion | 875 N Michigan Ave, Chicago, IL 60611-1803 | 2015-02-10 |
| 1184020471 | Neurometabolic Center of Chicago, LLC | Chiropractor | 875 N Michigan Ave, 3100, Chicago, IL 60611-1803 | 2014-11-13 |
| 1134529837 | Jenny Choi Lcsw, LLC | Social Worker | 875 N Michigan Ave, Suite 3100, Chicago, IL 60611-9998 | 2014-08-29 |
| 1760730915 | Jean R Hutchinson | Social Worker | 875 N Michigan Ave, 31st Floor, Chicago, IL 60611-1803 | 2012-08-20 |
| 1598042491 | Therapy4u - Chicago, PC | Counselor | 875 N Michigan Ave, 3100, Chicago, IL 60611-1803 | 2011-11-07 |
| 1235419490 | Pharmacy Hearing Centers | Hearing Aid Equipment | 875 N Michigan Ave, Chicago, IL 60611 | 2011-08-19 |
| 1922317056 | Seniorbridge Family Companies (il), Inc. | Home Health | 875 N Michigan Ave, Suite 1418, Chicago, IL 60611-1803 | 2010-10-07 |
| 1598991580 | Emily Harrell | Counselor | 875 N Michigan Ave, Suite 3100, Chicago, IL 60611-1803 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1952809451 | Josie M Abogast | General Practice | 3219 N. Clark St., Chicago, IL 60657 | 2018-01-30 |
| 1043759939 | Royalty Intervention Group Inc | General Practice | 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 | 2017-02-13 |
| 1215482567 | David John De Jong | General Practice | 226 W Willow St, Chicago, IL 60614-5716 | 2016-08-16 |
| 1720474885 | Healthwise Medical Clinic LLC | General Practice | 8349 S Baltimore Ave, Chicago, IL 60617-2110 | 2015-04-15 |
| 1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
| 1548662851 | Healthjoy | General Practice | 208 W Huron St, Chicago, IL 60654-3913 | 2014-09-17 |
| 1629478359 | Alivio Medical Center | General Practice | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2014-08-29 |
| 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.