Near North Health Service Corporation
NPI 1720404494 · Federally Qualified Health Center (FQHC) · Chicago, IL
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Near North Health Service Corporation is a Federally Qualified Health Center (FQHC) organization in Chicago, IL (NPI 1720404494).
Provider details
- NPI number
- 1720404494
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cush Mvududu, Controller(312) 337-1073
- License
- 2307802 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- North and Kostner Health Center
Registry dates
- Enumerated
- 2014-03-05
- Last updated
- 2023-01-27
- Certified
- 2021-07-21
Frequently asked questions
- What is Near North Health Service Corporation's NPI number?
- Near North Health Service Corporation's National Provider Identifier (NPI) is 1720404494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Near North Health Service Corporation?
- Near North Health Service Corporation is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Near North Health Service Corporation located?
- Near North Health Service Corporation's practice location on file with NPPES is 1520 N Kostner Ave, Chicago, IL 60651-1610.
- What is Near North Health Service Corporation's phone number?
- The practice phone number listed in the NPPES registry for Near North Health Service Corporation is (312) 337-1073.
- Does Near North Health Service Corporation accept Medicare?
- Near North Health Service Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Near North Health Service Corporation?
- The authorized official listed on Near North Health Service Corporation's NPPES record is Cush Mvududu, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Near North Health Service Corporation's NPI active?
- Yes — Near North Health Service Corporation's NPI (1720404494) is active in the NPPES registry as of the last update on 2023-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.