Organization
CITY OF CHICAGO
Active
Other names
Chicago Department of Public Health
Organization subpart
No
Provider details
NPI number
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
(312) 747-0292
Mailing address
333 S STATE ST, REVENUE #200, CHICAGO, IL 60604-3900
(312) 747-9443
(312) 747-9447
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
IL
Other
Enumeration date
08/15/2005
Last updated
04/28/2010
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