CHICAGO FAMILY HEALTH CENTER – NPI #1245266337
Clinic/Center

CHICAGO FAMILY HEALTH CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1245266337 to CHICAGO FAMILY HEALTH CENTER on June 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHICAGO FAMILY HEALTH CENTER” is a dba name, the actual legal business name for this organization is CHICAGO FAMILY HEALTH CENTER, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 10 years ago on Sep 21, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHICAGO FAMILY HEALTH CENTER below.

NPI Profile for
CHICAGO FAMILY HEALTH CENTER, INC.

NPI Number
1245266337
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHICAGO FAMILY HEALTH CENTER, INC.
Doing Business As (dba): CHICAGO FAMILY HEALTH CENTER
Primary location
9119 S. EXCHANGE AVE.
CHICAGO, IL 60617
Phone: (773) 768-5000 Fax: (773) 374-1621
Mailing address
9119 S EXCHANGE AVE
CHICAGO, IL 60617-4225
Phone: (773) 768-5000 Fax: (773) 768-6153
Organization Subpart
No
Authorized Official
JOSEPH BOKLAGE
CHIEF ADMINISTRATIVE OFFICER
Phone: (773) 768-5000
Updated
Identifiers

Identifiers for CHICAGO FAMILY HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCITY LICENSEIL1168069
OTHERCLIA LICENSEIL14D0696914
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.