NEIGHBORHOOD FAMILY HEALTHCARE SC NPI 1053485078

NPI Information

NPI: 1053485078
Provider Name: NEIGHBORHOOD FAMILY HEALTHCARE SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
CLIA Number: 14D1007163
Address: 2740 W FOSTER AVE
SUITE 410
CHICAGO, IL
ZIP 60625
Phone: (773) 907-0978

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NPI Details

NEIGHBORHOOD FAMILY HEALTHCARE SC is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEIGHBORHOOD FAMILY HEALTHCARE SC NPI is 1053485078. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2740 W FOSTER AVE
SUITE 410
CHICAGO, IL
ZIP 60625-500
Phone: (773) 907-0978
Fax: (773) 907-0982

The provider's authorized official is Nanajan Yakoub .
The authorized official title is President and has the following contact phone number (773) 907-0978.

The CLIA number assigned to this NPI record is 14D1007163 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 1/29/2008.

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	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	210632	MEDICARE PIN	ILLINOIS
2	01632852	OTHER	ILLINOIS	BCBS PROVIDER ID

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: 3/30/2025

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