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
641 W 63RD ST, CHICAGO, IL 60621-2032
(312) 747-7831
Mailing address
333 S STATE ST, ROOM 200 - REVENUE, CHICAGO, IL 60604-3900
(312) 747-9545
(312) 745-7603
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14D0664774
—
IL
Enumeration date
04/12/2010
Last updated
04/12/2010
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