INFANT WELFARE SOCIETY OF CHICAGO NPI 1801217062

NPI Information

NPI: 1801217062
Provider Name: INFANT WELFARE SOCIETY OF CHICAGO

Doing Business As: ANGEL HARVEY FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3600 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 782-2800
Get Directions

INFANT WELFARE SOCIETY OF CHICAGO is a federally qualified health center (fqhc) clinic center in Chicago, IL. INFANT WELFARE SOCIETY OF CHICAGO NPI is 1801217062. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Angel Harvey Family Health Center.

The provider's business location address is:

3600 W FULLERTON AVE
CHICAGO, IL
ZIP 60647-319
Phone: (773) 782-2800
Fax: (773) 782-5042

The provider's authorized official is Galarza Jose .
The authorized official title is Chief Healthcare Analytic Officer and has the following contact phone number (773) 782-5035.

The enumeration date for this NPI number is 12/13/2013 and was last updated on 12/1/2020.

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 State	Primary
1	101Y00000X	Counselor		ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	ILLINOIS	No
3	1041C0700X	Social Worker	Clinical	ILLINOIS	No
4	122300000X	Dentist		ILLINOIS	No
5	152W00000X	Optometrist		ILLINOIS	No
6	225X00000X	Occupational Therapist		ILLINOIS	No
7	235Z00000X	Speech-Language Pathologist		ILLINOIS	No
8	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		Yes
9	261QM1300X	Clinic/Center	Multi-Specialty		No

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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