College of Applied Health Sciences Faculty Practice – Early Intervention Provider Agency, NPI 1174554331

College of Applied Health Sciences Faculty Practice is a healthcare provider. based in Chicago, Illinois. specializing in Early Intervention Provider Agency. The NPI Number for College of Applied Health Sciences Faculty Practice is 1174554331

Main info

Organization
Name
College of Applied Health Sciences Faculty Practice
NPI
1174554331
Phone
(312) 413-1567
Address
1640 W ROOSEVELT RD # MC727
Authorized Official
DR. BO L. FERNHALL DIRECTOR PHD
Enumeration Date
6 July 2006
Last Update Date
20 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for College of Applied Health Sciences Faculty Practice

  • 1640 W ROOSEVELT RD # MC727

    CHICAGO, IL 606081316

    Phone: (312) 413-1567

    Fax: (312) 413-1993

    Type: Mailing

  • Disability, Health & Social Policy Building (DHSP), 1640, West Roosevelt Road, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60608, United States

    ROOM 336 (MC 628)

    CHICAGO, IL 606081316

    Phone: (312) 413-1567

    Fax: (312) 413-1993

    Type: Location

  • 5254 SOLUTION CENTER

    CHICAGO, IL 606770001

    Phone: (312) 413-1567

    Fax: (312) 413-1993

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60608)

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Reviews

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Frequently asked questions

What number should I use to identify College of Applied Health Sciences Faculty Practice for billing?
Administrative and clinical systems typically use NPI 1174554331 for College of Applied Health Sciences Faculty Practice.
Does the public listing show College of Applied Health Sciences Faculty Practice as active?
College of Applied Health Sciences Faculty Practice's NPI record reflects an active status in NPPES.
How should patients interpret College of Applied Health Sciences Faculty Practice's specialty?
The extract shows Early Intervention Provider Agency for College of Applied Health Sciences Faculty Practice. Clinical services aligned with this taxonomy classification.
What geographic area is tied to College of Applied Health Sciences Faculty Practice?
College of Applied Health Sciences Faculty Practice is associated with Chicago, Illinois in the same public data insurers reference.
Who maintains College of Applied Health Sciences Faculty Practice's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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