Organization · Type 2 NPI
Near North Health Service Corporation
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1962074500
Active
Practice location
2844 N Milwaukee Ave
Chicago, IL 60618-7401
Fax (312) 235-4257
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...
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About NPI 1962074500
Near North Health Service Corporation's National Provider Identifier is 1962074500, issued on Jul 13, 2021. 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 21, 2021.