Humboldt Park Health in Chicago - Clinic/center
Humboldt Park Health - NPI 1619146867
Humboldt Park Health is a Clinic/center in Chicago, Illinois. Humboldt Park Health practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Humboldt Park Health is 1619146867. The last update date is 2021-01-27.
Humboldt Park Health's current location address is 1799 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 7732928200 and fax number 7732783899. The mailing address for Humboldt Park Health is 1799 Momentum Pl, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Humboldt Park Health |
|---|---|
| Address | 1799 Momentum Pl, Chicago, Illinois |
| Phone Number | 7732928200 |
| Fax Number | 7732783899 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Erins Cheryl Dorothy |
| Telephone Number | 2692445256 |
NPI Number Detail
| NPI Number | 1619146867 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2021-01-27 |
Provider Mailing Address Detail
| Address | 1799 Momentum Pl |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606895317 |
| Phone Number | 7732928200 |
| Fax Number | 7732783899 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 7296 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 945300 | IL | GROUP NUMBER | |
| 1619059 | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Humboldt Park Health?
The Humboldt Park Health has been issued the NPI (National Provider Identifier) 1619146867 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Humboldt Park Health?
The Humboldt Park Health is physically situated at 1799 Momentum Pl, in the city of Chicago, state of IL, with the postal code 606895317.
What is Humboldt Park Health's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Humboldt Park Health's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619146867 to Humboldt Park Health?
The Humboldt Park Health received its 1619146867 assignment from the Centers for Medicare & Medicaid Services on 2008-02-21.
When was the information regarding Humboldt Park Health, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Humboldt Park Health, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-27.
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