Organization
NEAR NORTH HEALTH SERVICE CORPORATION
Active
Other names
Near North Health Family Health Center at Oakwood Shores
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTE SMITH (CHIEF EXECUTIVE OFFICER)
(312) 337-1073
Entity
Organization
Contact information
Practice address
3753 S COTTAGE GROVE AVE, CHICAGO, IL 60653-1662
(773) 268-7600
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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