CHICAGO DEPARTMENT OF PUBLIC HEALTH NPI 1659697969

NPI Information

NPI: 1659697969
Provider Name: CHICAGO DEPARTMENT OF PUBLIC HEALTH

Other Name: CDPH

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1713 S ASHLAND AVE
CHICAGO, IL
ZIP 60608
Phone: (312) 746-5157
Get Directions

CHICAGO DEPARTMENT OF PUBLIC HEALTH is a community health clinic center in Chicago, IL. CHICAGO DEPARTMENT OF PUBLIC HEALTH NPI is 1659697969. The provider is registered as an organization entity type.
The provider Other Name Is Cdph.

The provider's business location address is:

1713 S ASHLAND AVE
CHICAGO, IL
ZIP 60608-014
Phone: (312) 746-5157

The provider's authorized official is Matthew W Beaudet .
The authorized official title is First Deputy Commissioner and has the following contact phone number (312) 747-9889.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 4/12/2010.

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
1	261QC1500X	Clinic/Center	Community Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14D0664780	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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