# HENRY BOOTH HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811128697
- **Authorized official:** MR. SCOTT PERKINS (PRESIDENT/CEO)
- **Authorized official phone:** (312) 949-3609

## Contact information

- **Practice address:** 2850 S MICHIGAN AVE, CHICAGO, IL 60616-5018
- **Practice address phone:** (312) 949-2174
- **Practice address fax:** (312) 225-6324
- **Mailing address:** 2850 S MICHIGAN AVE, CHICAGO, IL 60616-5018
- **Mailing address phone:** (312) 949-2174
- **Mailing address fax:** (312) 225-6324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 07/28/2009