Organization · Type 2 NPI

Near North Health Service Corporation

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1831170059 Active

Practice location

800 N Kedzie Ave
Chicago, IL 60651-4100

Call (773) 826-3450 Map

Fax (773) 829-3993

Mailing address

1276 N Clybourn Ave
Chicago, IL 60610-2089

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Hannah Claire Polus, MDFamily Medicine Physician Chicago, IL NPI 1376072009

Other federally qualified health center (fqhc) providers in Chicago

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NPI record

NPI: 1831170059
Entity type: Organization (Type 2)
Issued: Nov 7, 2005
Last updated: Jul 26, 2021
Status: Active

Other names

<unavail>
Louise Landau Health Center · doing business as
Louise Landau Health Center · doing business as

Authorized official

Mrs. Berneice Mills-Thomas
Executive Director
(312) 337-1073

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About NPI 1831170059

Near North Health Service Corporation's National Provider Identifier is 1831170059, issued on Nov 7, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on Jul 26, 2021.