Organization
CITY OF CHICAGO
Active
Other names
City of Chicago Department of Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
SARAI M. JACKSON DIRECTOR (DIRECTOR OF REVENUE)
(312) 747-9792
Entity
Organization
Contact information
Practice address
2160 W. OGDEN, WESTSIDE C.D.C, CHICAGO, IL 60604
(312) 747-9792
(312) 747-9447
Mailing address
111 W WASHINGTON ST FL 4, CHICAGO, IL 60602-2703
(312) 747-9792
(312) 767-9447
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
01/10/2025
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