Chicago Department Of Public Health

Specialty details in registry · Chicago, IL

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At a glance

1715 Ashland Ave, Chicago, IL 60622

NPPES record updated Sep 19, 2024. Public records can lag behind changes at a practice.

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Practice location

1715 Ashland Ave
Chicago, IL 60622

Professional details: NPI, taxonomy & registry record

NPI1861229015

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0801X
Enumeration date: Sep 19, 2024
Record updated: Sep 19, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TC0700X

Clinical Social Worker

1041C0700X

Family Medicine

207Q00000X

Specialty details in registry

261QM0801X · Primary

Nurse Practitioner

363L00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1715 Ashland Ave
Chicago, IL 60622

Phone: (312) 743-1198

Mailing address

111 W WASHINGTON ST STE 400

CHICAGO, IL 606024073

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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