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HOWARD BROWN HEALTH CENTER NPI 1306048632


NPI Information

NPI: 1306048632
Provider Name: HOWARD BROWN HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4025 N SHERIDAN RD
CHICAGO, IL
ZIP 60613
Phone: (773) 388-1600
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HOWARD BROWN HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. HOWARD BROWN HEALTH CENTER NPI is 1306048632. The provider is registered as an organization entity type.

The provider's business location address is:

4025 N SHERIDAN RD
CHICAGO, IL
ZIP 60613
Phone: (773) 388-1600
Fax: (773) 388-1602

The provider's authorized official is Joanna Lynn Mruz .
The authorized official title is Billing Manager and has the following contact phone number (773) 388-8991.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 5/17/2018.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
2251S00000XCommunity/Behavioral Health30411ILLINOISNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130411OTHERILLINOISSTATE LICENSE NUMBER

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.