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Organization

CHICAGO DEPARTMENT OF PUBLIC HEALTH

Active
Parent organization
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Other names
Pilsen Ashland Health Hub
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Authorized official
HILLARY WANG (PROJECT MANAGER)
(301) 213-6188
Entity
Organization

Contact information

Practice address
1715 ASHLAND AVE, CHICAGO, IL 60622
(312) 743-1198
Mailing address
111 W WASHINGTON ST STE 400, CHICAGO, IL 60602-4073

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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