Provider Type Icon

HEALTHY CHICAGO PRIMARY CARE PLLC NPI 1205219144


NPI Information

NPI: 1205219144
Provider Name: HEALTHY CHICAGO PRIMARY CARE, PLLC

Doing Business As: HEALTHY CHICAGO PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D2165863

Address:
2077 N CLYBOURN AVE
CHICAGO, IL
ZIP 60614
Phone: (773) 886-1500
Get Directions

HEALTHY CHICAGO PRIMARY CARE, PLLC is a primary care clinic center in Chicago, IL. HEALTHY CHICAGO PRIMARY CARE, PLLC NPI is 1205219144. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthy Chicago Primary Care.

The provider's business location address is:

2077 N CLYBOURN AVE
CHICAGO, IL
ZIP 60614-003
Phone: (773) 886-1500

The provider's authorized official is Kathya Chartre .
The authorized official title is Owner and has the following contact phone number (219) 746-6999.

The CLIA number assigned to this NPI record is 14D2165863 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 2/27/2020.


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
1261QP2300XClinic/CenterPrimary Care036.133054ILLINOISYes

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: 11/14/2023

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.