OrganizationActive
Humboldt Park Health
NPI 1609045863 · Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1609045863
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dorothy Erins, Credentialing Specialist(269) 244-5256
- License
- 000007296 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone: (773) 292-8200
Fax: (773) 278-3899
Street-level locationGet directions
Mailing address
1799 Momentum Pl
Chicago, IL 60689-5317
Other names (DBA / former)
- Doing business as
- Physician Specialty
- Doing business as
- Physician Specialty
Registry dates
- Enumerated
- 2008-02-21
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.