CHICAGO FAMILY HEALTH CENTER, INC. (NPI# 1730436452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730436452 |
| Entity Type | Organization |
| Organization Name | CHICAGO FAMILY HEALTH CENTER, INC. |
| Practice Address |
3963 W Belmont Ave 242 Chicago IL 60618-5149 |
| Practice Telephone | 7735920696 |
| Mailing Telephone | 7735920696 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | MR. ROBERT MAZIARKA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7737685000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
149015413 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154684736 | Chicago Family Health Center, Inc. | Clinic/Center | 2938 E 89th St, Chicago, IL 60617-3244 | 2012-06-19 |
| 1629388756 | Chicago Family Health Center, Inc. | Clinic/Center | 3223 W. 63rd St., Chicago, IL 60629 | 2010-10-07 |
| 1063614923 | Chicago Family Health Center, Inc. | Clinic/Center | 570 E 115th St, Chicago, IL 60628-5740 | 2007-06-04 |
| 1770785644 | Chicago Family Health Center, Inc. | Clinic/Center | 120 W. 111th St., Chicago, IL 60628 | 2007-06-04 |
| 1245266337 | Chicago Family Health Center, Inc. | Clinic/Center | 9119 S. Exchange Ave., Chicago, IL 60617 | 2006-06-23 |
| 1386942274 | Chicago Family Health Center, Inc. | Case Management | 9119 S Exchange Ave, Chicago, IL 60617-4225 | 2011-03-02 |
| 1992976419 | Chicago Family Health Center, Inc. | Clinic/Center | 10536 S Ewing Ave, Chicago, IL 60617-6219 | 2008-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHICAGO FAMILY HEALTH CENTER, INC. | 9119 S Exchange Ave, Chicago, IL 60617-4225 |
| Street Address |
3963 W BELMONT AVE 242 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275830697 | Julie Anderson | Social Worker | 3963 W Belmont Ave, Unit 220, Chicago, IL 60618-5149 | 2011-02-21 |
| 1396112462 | Emily Henry | Counselor | 3963 W Belmont Ave, Unit 512, Chicago, IL 60618-5149 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on CHICAGO FAMILY HEALTH CENTER, INC..
| 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.