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NEAR NORTH HEALTH SERVICE CORPORATION NPI 1033838214


NPI Information

NPI: 1033838214
Provider Name: NEAR NORTH HEALTH SERVICE CORPORATION
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1276 N CLYBOURN AVE
CHICAGO, IL
ZIP 60610
Phone: (331) 643-5238
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NEAR NORTH HEALTH SERVICE CORPORATION is a public health or welfare in Chicago, IL. NEAR NORTH HEALTH SERVICE CORPORATION NPI is 1033838214. The provider is registered as an organization entity type.

The provider's business location address is:

1276 N CLYBOURN AVE
CHICAGO, IL
ZIP 60610-003
Phone: (331) 643-5238

The provider's authorized official is Wanda Denise Smith .
The authorized official title is Patient Revenue Manager and has the following contact phone number (312) 337-1073.

The enumeration date for this NPI number is 8/23/2022 and was last updated on 8/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareNo
2174200000XMealsNo
3261Q00000XClinic/CenterNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
5261QH0100XClinic/CenterHealth ServiceNo
6261QM1300XClinic/CenterMulti-SpecialtyNo
7261QR1300XClinic/CenterRural HealthNo
8251K00000XPublic Health or WelfareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.