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Organization

CHICAGO DEPARTMENT OF PUBLIC HEALTH

Active
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Organization

CHICAGO DEPARTMENT OF PUBLIC HEALTH

Active
Parent organization
CITY OF CHICAGO
Other names
CDPH
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITY OF CHICAGO
Authorized official
MATTHEW W BEAUDET (FIRST DEPUTY COMMISSIONER)
(312) 747-9889
Entity
Organization

Contact information

Practice address
3059 W 26TH ST, CHICAGO, IL 60623-4131
(312) 747-0066
Mailing address
333 S STATE ST, ROOM 200 - REVENUE, CHICAGO, IL 60604-3900
(312) 747-9545
(312) 746-7503

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14D0664783
IL
Enumeration date
04/09/2010
Last updated
04/09/2010
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