OrganizationActive
Beloved Community Family Wellness Center
NPI 1114278009 · Federally Qualified Health Center (FQHC) · Blue Island, IL
Provider details
- NPI number
- 1114278009
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Iqbal Hussain, Chief Financial Officer(773) 651-3635
- License
- BL9194919 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2338 New St
Blue Island, IL 60406-2402
Phone: (708) 577-5060
Fax: (708) 577-5064
Approximate (ZIP-level) locationGet directions
Mailing address
6821 S Halsted St
Chicago, IL 60621-1833
Registry dates
- Enumerated
- 2012-10-02
- Last updated
- 2024-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.