ENGLEWOOD COMMUNITY CONNECTION OUTREACH NPI 1366817017

NPI Information

NPI: 1366817017
Provider Name: ENGLEWOOD COMMUNITY CONNECTION OUTREACH
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
7326 S EXCHANGE AVE
CHICAGO, IL
ZIP 60649
Phone: (773) 885-2974
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ENGLEWOOD COMMUNITY CONNECTION OUTREACH is a voluntary or charitable in Chicago, IL. ENGLEWOOD COMMUNITY CONNECTION OUTREACH NPI is 1366817017. The provider is registered as an organization entity type.

The provider's business location address is:

7326 S EXCHANGE AVE
CHICAGO, IL
ZIP 60649-408
Phone: (773) 885-2974

The provider's authorized official is Delores Taylor .
The authorized official title is President and has the following contact phone number (773) 885-2974.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.

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
1	251V00000X	Voluntary or Charitable				Yes

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: 4/28/2024

NPI Synchronization or Removal

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