OrganizationActive
City of Chicago
NPI 1194725192 · Community Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1194725192
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tyanna Qualls, Projects Administrator
Practice location
111 W Washington St Fl 4
Chicago, IL 60602-2703
Phone: (312) 747-9884
Fax: (312) 747-9447
Mailing address
111 W Washington St Fl 4
Chicago, IL 60602-2703
Registry dates
- Enumerated
- 2005-08-01
- Last updated
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.