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NPI 1104584408 · Health Service Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1104584408
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaquesszian Dukes, Owner(872) 237-2700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
917 W 18th St Ste 302
Chicago, IL 60608-2400
Phone: (312) 880-7004
Street-level locationGet directions
Mailing address
1 E Erie St Ste 525-3085
Chicago, IL 60611-2740
Registry dates
- Enumerated
- 2021-12-03
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.