NPI 1033838214
Near North Health Service Corporation
Practice location
- Address
- 1276 N Clybourn Ave, Chicago, IL 60610-2003
- Phone
- (331) 643-5238
Authorised official
- Name
- Wanda Denise Smith
- Title
- Patient Revenue Manager
- Phone
- (312) 337-1073
Registered specialties (8)
Public Health or Welfare Agency
Primary
Meals Provider
Nursing Care Agency
Clinic/Center
Federally Qualified Health Center (FQHC)
Health Service Clinic/Center
Multi-Specialty Clinic/Center
Rural Health Clinic/Center
Registry record
- NPI
- 1033838214
- Entity type
- Organization
- NPI issued
- 23 Aug 2022
- Record last updated
- 23 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.