OrganizationActive
Primecare Community Health Inc
NPI 1205374964 · Federally Qualified Health Center (FQHC) · Chicago, IL
Provider details
- NPI number
- 1205374964
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Moldovan, Cfo/Coo(312) 491-5034
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1431 N Western Ave
Suite 401
Chicago, IL 60622-1797
Phone: (773) 269-5540
Fax: (773) 269-5542
Street-level locationGet directions
Mailing address
2232 N Clybourn Ave Fl 3
Chicago, IL 60614-3193
Registry dates
- Enumerated
- 2017-02-02
- Last updated
- 2017-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.