OrganizationActive
City of Chicago
NPI 1881968501 · Medical Specialty Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1881968501
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Antonio Beltran, First Deputy Commissioner
Practice location
2861 N Clark St
Floor 2
Chicago, IL 60657-5207
Phone: (312) 744-5507
Fax: (312) 744-9359
Mailing address
2861 North Clark Street
Chicago, IL 60657
Registry dates
- Enumerated
- 2012-02-27
- Last updated
- 2012-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.