# CITY OF CHICAGO

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

## Provider details

- **NPI number:** 1518021153
- **Authorized official:** SARAI M. JACKSON DIRECTOR (DIRECTOR OF REVENUE)
- **Authorized official phone:** (312) 747-9792

## Contact information

- **Practice address:** 2160 W. OGDEN, WESTSIDE C.D.C, CHICAGO, IL 60604
- **Practice address phone:** (312) 747-9792
- **Practice address fax:** (312) 747-9447
- **Mailing address:** 111 W WASHINGTON ST FL 4, CHICAGO, IL 60602-2703
- **Mailing address phone:** (312) 747-9792
- **Mailing address fax:** (312) 767-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 01/10/2025