OrganizationActive
Bennu Health Service
NPI 1164640611 · Community/Behavioral Health Agency · Chicago, IL
Bennu Health Service is a Community/Behavioral Health Agency organization in Chicago, IL (NPI 1164640611).
Provider details
- NPI number
- 1164640611
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kimberly Gray-White, President(773) 354-7572
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2617 W 71st St
Chicago, IL 60629-2003
Phone: (773) 354-7572
Street-level locationGet directions
Mailing address
1125a E Hyde Park Blvd
Chicago, IL 60615-2809
Registry dates
- Enumerated
- 2007-04-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bennu Health Service's NPI number?
- Bennu Health Service's National Provider Identifier (NPI) is 1164640611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bennu Health Service?
- Bennu Health Service is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Bennu Health Service located?
- Bennu Health Service's practice location on file with NPPES is 2617 W 71st St, Chicago, IL 60629-2003.
- What is Bennu Health Service's phone number?
- The practice phone number listed in the NPPES registry for Bennu Health Service is (773) 354-7572.
- Who is the authorized official for Bennu Health Service?
- The authorized official listed on Bennu Health Service's NPPES record is Kimberly Gray-White, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bennu Health Service's NPI active?
- Yes — Bennu Health Service's NPI (1164640611) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.