Chicago Department of Public Health – Community Health Clinic/Center, NPI 1245232628
Community Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Chicago Department of Public Health
2418, West Division Street, West Town, Chicago, Cook County, Illinois, 60651, United States
CHICAGO, IL 606222940
Phone: (312) 744-0943
Fax: (312) 744-5516
Type: Location
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
111 W WASHINGTON ST FL 4
CHICAGO, IL 606022703
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (618 days ago).
Enrollment records
1
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040303001160 | O | Clinic/Group Practice | IL | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 60622)
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Reviews
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