CDPH
NPI 1568788875
Clinic/Center - Community Health in Chicago, IL

NPI Status: Active since April 12, 2010

Contact Information

641 W 63RD ST
CHICAGO, IL
ZIP 60621
Phone: (312) 747-7831

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  • Organization
  • Clinic/Center
  • Community Health

About CDPH

This page provides the complete NPI Profile along with additional information for Cdph, a primary care provider established in Chicago, Illinois operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1568788875 assigned on April 2010. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Cdph. The authorized official of this NPI record is Matthew W Beaudet (First Deputy Commissioner)

NPI
1568788875
Provider Legal Name
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Other Organization Name
CDPH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
641 W 63RD ST CHICAGO, IL 60621
Location Phone
(312) 747-7831
Mailing Address
333 S STATE ST ROOM 200 - REVENUE CHICAGO, IL 60604
Mailing Phone
(312) 747-9545
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-12-2010
Last Update Date
04-12-2010
Code Navigator

A primary care provider (PCP) like Cdph 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 Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MATTHEW W BEAUDET

Authorized Official Title
FIRST DEPUTY COMMISSIONER
Authorized Official Phone
(312) 747-9889

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
14D0664774MEDICAID (05)IL 

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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.
1568788875
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512814816814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 8 + 1 + 6 + 8 + 1 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1568788875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871595256CITY OF CHICAGO
Organization
Clinic/Center (Community Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7831
1316168412 JENINE LEE CHILES PSY.D.
Individual
Psychologist (Clinical)641 W 63RD ST SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621
(312) 745-0662
1942499983MS. CAROLYN JEAN PAIGE NURSE PRACTITIONER
Individual
Nurse Practitioner (Adult Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-8900
1720245491HEARTLAND HEALTH OUTREACH
Organization
Dentist (General Practice)641 W 63RD ST
CHICAGO, IL 60621
(773) 488-4277
1952612145MRS. CHANDRA THOMPSON M.A.
Individual
Counselor (Professional)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1205147717CITY OF CHICAGO
Organization
Clinic/Center (Adult Mental Health)641 W 63RD ST L33
CHICAGO, IL 60621
(312) 747-7496
1730490269MR. ROBERT L. STEWARD LSW
Individual
Social Worker641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1306147491 JOANNE JONES LCSW
Individual
Social Worker (Clinical)641 W 63RD ST L33
CHICAGO, IL 60621
(312) 747-7496
1386083665MRS. OTHELLA BANNER LCPC
Individual
Counselor641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1689002339 AMANDA THOMPSON
Individual
Counselor (Mental Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1417245861MS. KRISTEN NICOLE KENAN M.D.
Individual
Pediatrics641 W 63RD ST
CHICAGO, IL 60621
(312) 996-2000
1922255272 ADINA JOVAN HOLLOMAN LCSW
Individual
Social Worker (Clinical)641 W 63RD ST
CHICAGO, IL 60621
(615) 491-0919
1558682187 DANIEL JEAN M.A
Individual
Counselor (Professional)641 W 63RD ST
CHICAGO, IL 60621
(312) 747-7496
1730597659 KENDRICK TERRILL CLACK FNP-C
Individual
Nurse Practitioner (Family)641 W 63RD ST
CHICAGO, IL 60621
(773) 388-1600
1447770060DR. CAITLIN GRACE WILLIAMS PSY.D., LCP
Individual
Psychologist (Clinical)641 W 63RD ST
CHICAGO, IL 60621
(773) 388-1600
1750889945 KENYA SPANN
Individual
Counselor (Professional)641 W 63RD ST
CHICAGO, IL 60621
(708) 491-1306
1386126159 BRITT ELIZABETH HODGDON LCSW
Individual
Social Worker (Clinical)641 W 63RD ST
CHICAGO, IL 60621
(773) 388-1600
1558837922BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Organization
Case Management641 W 63RD ST
CHICAGO, IL 60621
(312) 413-4070
1548728686 KYNDRIA TISDALE
Individual
Counselor (Mental Health)641 W 63RD ST
CHICAGO, IL 60621
(312) 550-6774
1043778004 CORETTA J PRUITT
Individual
Case Manager/Care Coordinator641 W 63RD ST
CHICAGO, IL 60621
(224) 531-7966

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568788875, enumerated in the NPI registry as an "organization" on April 12, 2010

The provider is located at 641 W 63rd St Chicago, Il 60621 and the phone number is (312) 747-7831

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 12, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.