CITY OF CHICAGO NPI 1427322155

NPI Information

CITY OF CHICAGO is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CITY OF CHICAGO NPI is 1427322155. The provider is registered as an organization entity type.
The provider Is Doing Business As Chicago Department Of Public Health South Austin.

The provider's business location address is:

4958 W MADISON ST
CHICAGO, IL
ZIP 60644-541
Phone: (312) 746-4871
Fax: (312) 746-4637

The provider's authorized official is Antonio Beltran .
The authorized official title is First Deputy Commissioner and has the following contact phone number (312) 747-9878.

The CLIA number assigned to this NPI record is 14D0646583 - public health laboratory with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/27/2012 and was last updated on 2/27/2012.

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:

Other Identifiers

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

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.