NEAR NORTH HEALTH SERVICE CORPORATION (NPI# 1821079088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821079088 |
| Entity Type | Organization |
| Organization Name | NEAR NORTH HEALTH SERVICE CORPORATION |
| Other Organization Name | WINFIELD MOODY HEALTH CENTER |
| Practice Address |
1276 N Clybourn Ave Chicago IL 60610-2089 |
| Practice Telephone | 3123371073 |
| Practice Fax Number | 3123377616 |
| Mailing Telephone | 3123371073 |
| Mailing Fax Number | 3123377616 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | MRS. BERNEICE MILLS-THOMAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3123371073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Winfield Moody Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659725133 | Near North Health Service Corporation | Clinic/Center | 4501 N Sheridan Rd, Chicago, IL 60640-5608 | 2016-04-20 |
| 1922237890 | Near North Health Service Corporation | Clinic/Center | 834 E 50th St, Chicago, IL 60615-2620 | 2009-07-13 |
| 1831170059 | Near North Health Service Corporation | Clinic/Center | 800 N Kedzie Ave, Chicago, IL 60651-4100 | 2005-11-07 |
| 1346221553 | Near North Health Service Corporation | Clinic/Center | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2005-11-07 |
| 1073594297 | Near North Health Service Corporation | Clinic/Center | 4829 S Cottage Grove Ave, Chicago, IL 60615-1600 | 2005-11-07 |
| 1326514365 | Near North Health Service Corporation | Case Management | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2018-10-17 |
| 1720404494 | Near North Health Service Corporation | Clinic/Center | 1520 N Kostner Ave, Chicago, IL 60651-1610 | 2014-03-05 |
| 1871749473 | Near North Health Service Corporation | Clinic/Center | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2008-08-14 |
| 1417156043 | Near North Health Service Corporation | Clinic/Center | 4867 N Broadway, Chicago, IL 60614 | 2007-07-13 |
| Street Address |
1276 N CLYBOURN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695487 | Ada Yanci Lemus I | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2020-10-07 |
| 1578127684 | Gerald Santangelo | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2019-04-24 |
| 1326514365 | Near North Health Service Corporation | Case Management | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2018-10-17 |
| 1720563695 | Angie Oliver | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-09-26 |
| 1013499839 | Andrew Koch | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-08-29 |
| 1992284889 | Shaina Herring | Midwife | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-08-10 |
| 1164909412 | Sarah Kehinde Nkwocha | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-07-19 |
| 1174014625 | Robert Scott Waller | Psychologist | 1276 N Clybourn Ave, Chicago, IL 60610 | 2018-05-21 |
| 1558864561 | Cynthia L Tran | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-03-15 |
| 1326540782 | Celeste Mcfarland | Nurse Practitioner | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
| 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.