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Organization

CHICAGO DEPARTMENT OF PUBLIC HEALTH

Active
Find providers by NPI
Organization

CHICAGO DEPARTMENT OF PUBLIC HEALTH

Active
Parent organization
CDPH
Other names
CDPH
Organization subpart
Yes

Provider details

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

Contact information

Practice address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(312) 746-5157
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
14D0664780
IL
Enumeration date
04/12/2010
Last updated
04/12/2010
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