Organization
SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MICHELLE BARNETT (VP PEOPLE & OPERATIONS)
(773) 885-5507
Entity
Organization
Contact information
Practice address
7936 S COTTAGE GROVE AVE FL 2, CHICAGO, IL 60619-3911
(872) 274-4688
Mailing address
7936 S COTTAGE GROVE AVE FL 2, CHICAGO, IL 60619-3911
(872) 274-4688
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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