OrganizationActive
Near North Health Service Corporation
NPI 1821079088 · Federally Qualified Health Center (FQHC) · Chicago, IL
Provider details
- NPI number
- 1821079088
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Berneice Mills-Thomas, Executive Director(312) 337-1073
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1276 N Clybourn Ave
Chicago, IL 60610-2089
Phone: (312) 337-1073
Fax: (312) 337-7616
Street-level locationGet directions
Mailing address
1276 N Clybourn Ave
Chicago, IL 60610-2089
Other names (DBA / former)
- Doing business as
- Winfield Moody Health Center
- Doing business as
- Winfield Moody Health Center
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2021-07-26
- Certified
- 2021-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.