Provider Type Icon

LAWNDALE CHRISTIAN HEALTH CENTER NPI 1831590421


NPI Information

NPI: 1831590421
Provider Name: LAWNDALE CHRISTIAN HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3219 W CARROLL AVE
CHICAGO, IL
ZIP 60624
Phone: (872) 588-3000
Get Directions

LAWNDALE CHRISTIAN HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. LAWNDALE CHRISTIAN HEALTH CENTER NPI is 1831590421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3219 W CARROLL AVE
CHICAGO, IL
ZIP 60624-031
Phone: (872) 588-3000

The provider's authorized official is Karen Renee Johnson .
The authorized official title is Asst Dir Of Patient Accounting and has the following contact phone number (872) 588-3000.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 7/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2103TC0700XPsychologistClinicalNo
3122300000XDentistNo
4133N00000XNutritionistNo
5152W00000XOptometristNo
6164W00000XLicensed Practical NurseNo
7261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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

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.