Chicago Department of Public Health Revenue 3200 – Community Health Clinic/Center, NPI 1194725192
Community Health Clinic/Center
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Chicago Department of Public Health Revenue 3200
111 W WASHINGTON ST FL 4
CHICAGO, IL 606022703
Phone: (312) 747-9443
Fax: (312) 747-9447
Type: Mailing
333, State Street, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
REVENUE 200
CHICAGO, IL 606043900
Phone: (312) 747-9443
Fax: (312) 747-9447
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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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-03
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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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 60602)
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