MILE SQUARE DAVIS/BRIGHTON PARK SATELLITE HEALTH AND WELLNESS CENTER
NPI 1497293344
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

NPI Status: Active since February 10, 2017

Contact Information

3825 S WASHTENAW AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 376-5293

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About MILE SQUARE DAVIS/BRIGHTON PARK SATELLITE HEALTH AND WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Mile Square Davis/brighton Park Satellite Health And Wellness Center, a primary care provider established in Chicago, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1497293344 assigned on February 2017. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Henry Taylor (Executive Director)

NPI
1497293344
Provider Name
MILE SQUARE DAVIS/BRIGHTON PARK SATELLITE HEALTH AND WELLNESS CENTER
Entity Type
Organization
Location Address
3825 S WASHTENAW AVE CHICAGO, IL 60632
Location Phone
(773) 376-5293
Mailing Address
3825 S WASHTENAW AVE CHICAGO, IL 60632
Mailing Phone
(773) 376-5293
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-10-2017
Last Update Date
09-04-2019
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A primary care provider (PCP) like Mile Square Davis/brighton Park Satellite Health And Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HENRY TAYLOR

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(312) 412-1261

Reviews for MILE SQUARE DAVIS/BRIGHTON PARK SATELLITE HEALTH AND WELLNESS CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497293344
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418749638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 9 + 6 + 3 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1497293344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497293344, enumerated in the NPI registry as an "organization" on February 10, 2017

The provider is located at 3825 S Washtenaw Ave Chicago, Il 60632 and the phone number is (773) 376-5293

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on February 10, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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