Provider Demographics
NPI:1073845848
Name:CITY OF CHICAGO
Entity Type:Organization
Organization Name:CITY OF CHICAGO
Other - Org Name:CHICAGO DEPT OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATIVE SRVCS
Authorized Official - Prefix:
Authorized Official - First Name:PERLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-747-8805
Mailing Address - Street 1:333 S STATE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3946
Mailing Address - Country:US
Mailing Address - Phone:312-747-8805
Mailing Address - Fax:312-747-8835
Practice Address - Street 1:333 S STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3946
Practice Address - Country:US
Practice Address - Phone:312-747-8805
Practice Address - Fax:312-747-8835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)