OrganizationActive
Chicago Department of Public Health
NPI 1013249143 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1013249143
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Chicago Department of Public Health
- Organization subpart
- Yes
- Authorized official
- Hillary Wang, Project Manager(312) 747-8875
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 E 115th St
Chicago, IL 60628-5015
Phone: (312) 747-7320
Fax: (312) 747-6250
Street-level locationGet directions
Mailing address
200 E 115th St
Chicago, IL 60628-5015
Other names (DBA / former)
- Doing business as
- Roseland East 115th Street Health Hub
Registry dates
- Enumerated
- 2010-01-29
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.