NEAR NORTH HEALTH SERVICE CORPORATION NPI 1952035123

NPI Information

NPI: 1952035123
Provider Name: NEAR NORTH HEALTH SERVICE CORPORATION

Other Name: NEAR NORTH HEALTH CORPORATION MOBILE UNIT

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1276 N CLYBOURN AVE
CHICAGO, IL
ZIP 60610
Phone: (312) 337-1073
Get Directions

NEAR NORTH HEALTH SERVICE CORPORATION is a federally qualified health center (fqhc) clinic center in Chicago, IL. NEAR NORTH HEALTH SERVICE CORPORATION NPI is 1952035123. The provider is registered as an organization entity type.
The provider Other Name Is Near North Health Corporation Mobile Unit.

The provider's business location address is:

1276 N CLYBOURN AVE
CHICAGO, IL
ZIP 60610-003
Phone: (312) 337-1073
Fax: (312) 337-5264

The provider's authorized official is Cush Mvududu .
The authorized official title is Controller and has the following contact phone number (312) 337-1073.

The enumeration date for this NPI number is 7/13/2022 and was last updated on 2/2/2023.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »