# CITY OF CHICAGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chicago Department of Public Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194819623
- **Authorized official:** MATTHEW W. BEAUDET (FIRST DEPUTY COMMISSIONER)
- **Authorized official phone:** (312) 747-9889

## Contact information

- **Practice address:** SOUTH LAWNDALE NHC, 3059 W 26TH STREET, CHICAGO, IL 66023
- **Practice address phone:** (312) 747-0066
- **Practice address fax:** (612) 747-5271
- **Mailing address:** CHICAGO DEPARTMENT OF PUBLIC HEALTH, 333 S STATE STREET REVENUE \#200, CHICAGO, IL 60604
- **Mailing address phone:** (312) 747-9443
- **Mailing address fax:** (312) 747-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 04/28/2010