OrganizationActive
Health Department
NPI 1447418017 · Community Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1447418017
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Prathibha Tharimala, Pediatrician
- License
- 036048048 (IL)
Practice location
5400 S Hyde Park Blvd Apt D2
Chicago, IL 60615-5852
Phone: (773) 667-4631
Mailing address
5400 S Hyde Park Blvd Apt D2
Chicago, IL 60615-5852
Registry dates
- Enumerated
- 2008-05-29
- Last updated
- 2008-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.