CHICAGO FAMILY HEALTH CENTER, INC.
NPI 1063614923
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL
About Chicago Family Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHICAGO FAMILY HEALTH CENTER, INC. (NPI 1063614923), doing business as Chicago Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Sherry Pace, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chicago Family Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Chicago Family Health Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 39Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0696915
Chicago Family Health Center-Pullman · Chicago, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chicago Family Health Center, Inc.'s NPI number?
The NPI number for Chicago Family Health Center, Inc. is 1063614923. It was assigned to this organization in the NPPES registry on June 4, 2007. The provider is doing business as Chicago Family Health Center.
Where is Chicago Family Health Center, Inc. located?
Chicago Family Health Center, Inc. is located at 570 E 115th St, Chicago, IL 60628. The listed phone number is (773) 768-5000.
What is Chicago Family Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Chicago Family Health Center, Inc. enrolled in Medicare?
Yes. Chicago Family Health Center, Inc. is registered in the Medicare PECOS enrollment system.
When is Chicago Family Health Center, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Illinois, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Chicago Family Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 9 Medicare specialties reassign their Medicare billing to Chicago Family Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Pediatric Medicine (5) and Family Practice (4). Of these, 1 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Chicago Family Health Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0696915) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Chicago Family Health Center, Inc. accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Chicago Family Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chicago Family Health Center, Inc. was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chicago Family Health Center, Inc. · NPI 1063614923
Federally Qualified Health Center (FQHC) organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since June 4, 2007.
## Identity
- **NPI:** 1063614923 (Entity type: Organization)
- **Enumerated:** June 4, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Chicago Family Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sherry Pace, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 570 E 115TH ST, Chicago, IL 60628-5740
- **Phone:** (773) 768-5000 · **Fax:** (773) 840-3409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Illinois, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 39 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Pediatric Medicine (5), Family Practice (4); 1 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1063614923/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2026
- **Other identifiers:** Other 14D0696915 (IL); Other 7991 (IL); Other 097001196 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063614923) · Data from the CMS NPPES public registry.