CHICAGO DEPARTMENT OF PUBLIC HEALTH NPI 1386636520

NPI Information

  • NPI: 1386636520
  • Provider Name: CHICAGO DEPARTMENT OF PUBLIC HEALTH
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: CDPH
  • Address: 110 E 79TH ST
    CHATHAM MENTAL HEALTH CENTER
    CHICAGO, IL
    ZIP 60619
  • Phone: (312) 747-0901

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NPI Details

CHICAGO DEPARTMENT OF PUBLIC HEALTH is a mental health (including community mental health center) clinic center in Chicago, IL. CHICAGO DEPARTMENT OF PUBLIC HEALTH NPI is 1386636520. The provider is registered as an organization entity type.
The provider Other Name Is Cdph.

The provider's business location address is:

110 E 79TH ST
CHATHAM MENTAL HEALTH CENTER
CHICAGO, IL
ZIP 60619-302
Phone: (312) 747-0901
Fax: (312) 651-5418

The provider's authorized official is Sarai M Jackson .
The authorized official title is Director Of Revenue and has the following contact phone number (312) 747-9443.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)ILLINOISYes

What is NPI?

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This page was last updated on: 3/30/2025

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