Chicago Dept. Of Public Health | |
200 E 115th St Chicago IL 60628-5015 | |
(312) 747-7320 | |
(312) 747-6252 |
Full Name | Chicago Dept. Of Public Health |
---|---|
Speciality | Community/behavioral Health |
Location | 200 E 115th St, Chicago, Illinois |
Authorized Official Name and Position | Sylvia Ripperton-lewis (DEPUTY COMMISSIONER) |
Authorized Official Contact | 3127479891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chicago Dept. Of Public Health 333 South State Street Depaul Center, Suite 200 Chicago IL 60604 Ph: (312) 747-9891 | Chicago Dept. Of Public Health 200 E 115th St Chicago IL 60628-5015 Ph: (312) 747-7320 |
NPI Number | 1861724544 |
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Provider Enumeration Date | 02/05/2010 |
Last Update Date | 02/05/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861724544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 149.012350 (Illinois) | Primary |
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