OrganizationActive
Lifescore Foundation
NPI 1407548266 · Community Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1407548266
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beyonca Johnson, President(773) 251-1221
Specialties & taxonomies
Ambulatory Health Care Facilities
- Public Health or Welfare Agency251K00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
8244 S Cottage Grove Ave
Chicago, IL 60619-5302
Phone: (773) 251-1221
Approximate (ZIP-level) locationGet directions
Mailing address
8244 S Cottage Grove Ave
Chicago, IL 60619-5302
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.