COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
NPI 1093981367
Clinic/Center - Federally Qualified Health Center (FQHC) in Mendota, IL

Active since May 06, 2008CLIA 14D0708187 · Waiver
1009 MAIN ST, MENDOTA, IL 61342(815) 539-6124(815) 539-9015 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Health Partnership Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS (NPI 1093981367) is a healthcare organization registered as a federally qualified health center (fqhc) in Mendota, Illinois and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Susan Bauer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093981367
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
Location Address1009 MAIN STMendota, IL 61342-1604
Mailing Address205 W Randolph St, Suite 2222Chicago, IL 60606-1867 · (312) 795-0000
Fax(815) 539-9015
Organization SubpartNo
Authorized OfficialSusan BauerExecutive Director · (312) 795-0000
Enumeration DateMay 6, 2008
Last NPPES UpdateOctober 30, 2015
NPI 1093981367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1009 MAIN ST, Mendota, IL 61342

Other Identifiers 1

Medicaid=========012IL

Accepted Insurance

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 14D0708187

Community Health Partnership Of Illinois · Aurora, IL
Active · expires Sep 19, 2026
CLIA Number14D0708187
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorThomas F. Gavagan
Laboratory Phone(312) 795-0000
Laboratory LocationCommunity Health Partnership Of Illinois157 S Lincoln St, Aurora, IL 60505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Community Health Partnership Of Illinois's NPI number?

The NPI number for Community Health Partnership Of Illinois is 1093981367. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Community Health Partnership Of Illinois located?

Community Health Partnership Of Illinois is located at 1009 Main St, Mendota, IL 61342. The listed phone number is (815) 539-6124.

What is Community Health Partnership Of Illinois's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Community Health Partnership Of Illinois hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0708187) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Health Partnership Of Illinois accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Community Health Partnership Of Illinois 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 Community Health Partnership Of Illinois was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.