Kedzie Clinic – General Acute Care Hospital, NPI 1912397480

Kedzie Clinic is a healthcare provider. based in Chicago, Illinois. specializing in General Acute Care Hospital. The NPI Number for Kedzie Clinic is 1912397480

Main info

Organization
Name
Kedzie Clinic
NPI
1912397480
Phone
(773) 484-1000
Address
1340 S DAMEN AVE
Authorized Official
DENNIS O ANOSIKE CFO
Enumeration Date
4 February 2015
Last Update Date
16 June 2025

Contacts

Main Contact
www.sahchicago.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness100
Years active:11State licenses:07/7 NPPES fields on file

Provider Addresses for Kedzie Clinic

  • 1340 S DAMEN AVE

    CHICAGO, IL 606081169

    Phone: (773) 484-1000

    Type: Mailing

  • 4455 S KEDZIE AVE

    CHICAGO, IL 606322814

    Phone: (773) 523-0400

    Fax: (773) 523-2725

    Type: Location

  • PO BOX 83

    CROWN POINT, IN 463080083

    Phone: (773) 484-4783

    Type: Mailing

  • 2875 W 19TH ST

    CHICAGO, IL 606233501

    Phone: (773) 484-1000

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

How do payers reference Kedzie Clinic?
For Kedzie Clinic, use NPI 1912397480 as the unique 10-digit identifier.
Is there an active status for Kedzie Clinic?
For scheduling context, Kedzie Clinic is shown as active in the registry.
What expertise is attributed to Kedzie Clinic?
Kedzie Clinic's specialty line reads General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
What locale is associated with Kedzie Clinic?
Directory geography for Kedzie Clinic centers on Chicago, Illinois.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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