NEAR NORTH HEALTH SERVICE CORPORATION is a federally qualified health center (fqhc) clinic center in Chicago, IL. NEAR NORTH HEALTH SERVICE CORPORATION NPI is 1073594297. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottage View Health Center.
The provider's business location address is:
4829 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60615-600
Phone: (773) 548-1170
Fax: (773) 548-1404
The provider's authorized official is Berneice Mills-thomas .
The authorized official title is Executive Director and has the following contact phone number (312) 337-1073.
The CLIA number assigned to this NPI record is 14D1030714 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/7/2005 and was last updated on 7/13/2021.