OrganizationActive
Jil Medical Consultant
NPI 1962664268 · Community Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1962664268
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dessa Benton, Advance Practice Nurse(773) 776-8800
- License
- 036-09434 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5500 S Damen Ave
Chicago, IL 60636-1107
Phone: (773) 776-8800
Fax: (773) 776-8801
Approximate (ZIP-level) locationGet directions
Mailing address
5500 S Damen Ave
Chicago, IL 60636-1107
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2008-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.