NEAR NORTH HEALTH CORPORATION MOBILE UNIT
NPI 1952035123
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

NPI Status: Active since July 13, 2022

Contact Information

1276 N CLYBOURN AVE
CHICAGO, IL
ZIP 60610
Phone: (312) 337-1073
Fax: (312) 337-5264

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

About NEAR NORTH HEALTH CORPORATION MOBILE UNIT

This page provides the complete NPI Profile along with additional information for Near North Health Corporation Mobile Unit, 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 1952035123 assigned on July 2022. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Near North Health Corporation Mobile Unit. The authorized official of this NPI record is Cush Mvududu (Controller)

NPI
1952035123
Provider Legal Name
NEAR NORTH HEALTH SERVICE CORPORATION
Other Organization Name
NEAR NORTH HEALTH CORPORATION MOBILE UNIT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1276 N CLYBOURN AVE CHICAGO, IL 60610
Location Phone
(312) 337-1073
Location Fax
(312) 337-5264
Mailing Address
1276 N CLYBOURN AVE CHICAGO, IL 60610
Mailing Phone
(331) 643-5238
Mailing Fax
(312) 337-5264
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-13-2022
Last Update Date
02-02-2023
Code Navigator

A primary care provider (PCP) like Near North Health Corporation Mobile Unit 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

CUSH MVUDUDU

Authorized Official Title
CONTROLLER
Authorized Official Phone
(312) 337-1073

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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.
1952035123
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102031014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 0 + 3 + 1 + 0 + 1 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1952035123 is valid because the calculated check digit 3 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
1396750790DR. ANTHONY ALEXANDER MCKITTY M.D.
Individual
Internal Medicine1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1063524502 LEELA JAIN MD
Individual
Pediatrics1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1205935277 SYEDA SHARIFF M.D.
Individual
Family Medicine1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1437365483 NICOLE STROM APN
Individual
Nurse Practitioner1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1467618819MRS. LINDSEY ALEXIS HICKEY APN
Individual
Nurse Practitioner1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1076
1376962985 LUANA LIENHART LCSW
Individual
Social Worker (Clinical)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1174906556MS. JENNIFER ANNE SCHMIDGALL RD
Individual
Dietitian, Registered1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1962877316 DANIELL ASHFORD NP
Individual
Nurse Practitioner (Family)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(773) 337-1073
1972687747 TIY SMITH MD
Individual
Pediatrics1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1528247863 SABA KAISERUDDIN M.D.
Individual
Pediatrics1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1669659751MR. MICHAEL DURAND NEWKIRK DPM
Individual
Podiatrist (Foot Surgery)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 646-6620
1851705875MRS. DEBBIE DOMINGUEZ LIM NP-C
Individual
Nurse Practitioner (Family)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1124529896 CHRISTINA SMITH LCSW
Individual
Social Worker (Clinical)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1164909412MRS. SARAH KEHINDE NKWOCHA APN
Individual
Nurse Practitioner (Family)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1013499839 ANDREW KOCH FNP
Individual
Nurse Practitioner (Family)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1992284889 SHAINA HERRING APN, CNM
Individual
Midwife1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1255584348 SAMANTHA WHITE APN
Individual
Registered Nurse1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1578127684 GERALD SANTANGELO APRN, FNP
Individual
Nurse Practitioner (Family)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1174014625DR. ROBERT SCOTT WALLER PSYD
Individual
Psychologist (Clinical)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073
1588732416DR. ALGEAN GARNER II PSY.D.
Individual
Psychologist (Clinical)1276 N CLYBOURN AVE
CHICAGO, IL 60610
(312) 337-1073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952035123, enumerated in the NPI registry as an "organization" on July 13, 2022

The provider is located at 1276 N Clybourn Ave Chicago, Il 60610 and the phone number is (312) 337-1073

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 July 13, 2022. 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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