OrganizationActive
Portage Park Satellite Senior Center
NPI 1366610206 · Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1366610206
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Chicago Department of Senior Services
- Organization subpart
- Yes
- Authorized official
- Greta Ivers, Deputy Commissioner(312) 744-0890
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4100 N Long Ave
Chicago, IL 60641-1346
Phone: (312) 744-9022
Street-level locationGet directions
Mailing address
4100 N Long Ave
Chicago, IL 60641-1346
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.