1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Clinic Center
  6. NPI Profile

CHICAGO DEPARTMENT OF PUBLIC HEALTH REVENUE 3200
NPI 1194725192
Clinic/Center - Community Health in Chicago, IL

Active since August 01, 2005
111 W WASHINGTON ST FL 4, CHICAGO, IL 60602(312) 747-9884(312) 747-9447 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Chicago Department Of Public Health Revenue 3200 NPPES

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

CHICAGO DEPARTMENT OF PUBLIC HEALTH REVENUE 3200 (NPI 1194725192) is a healthcare organization registered as a community health in Chicago, Illinois and active in the NPI registry since August 2005. The organization lists Tyanna Qualls, Projects Administrator, as its authorized official.

NPPES Registry Identity

NPI1194725192
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCITY OF CHICAGO
Location Address111 W WASHINGTON ST FL 4Chicago, IL 60602-2703
Mailing Address111 W Washington St Fl 4Chicago, IL 60602-2703 · (312) 747-9443 · Fax (312) 747-9447
Phone(312) 747-9884
Fax(312) 747-9447
Organization SubpartNo
Authorized OfficialTyanna QuallsProjects Administrator · (312) 747-2203
Enumeration DateAugust 1, 2005
Last NPPES UpdateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1194725192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
111 W WASHINGTON ST FL 4, Chicago, IL 60602
Open in Google Maps ↗

Other Names 1

Other NameChicago Department Of Public Health Revenue 3200

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chicago Department Of Public Health Revenue 3200 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chicago Department Of Public Health Revenue 3200, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nancy Gajewski
Clinical Social Worker
NPI 1538256276
CHICAGO DEPARTMENT OF PUBLIC HEALTH 333 S STATE STREET REVENUE #200
Chicago, IL 60604
(312) 747-9442
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 City Of Chicago's NPI number?

The NPI number for City Of Chicago is 1194725192. It was assigned to this organization in the NPPES registry on August 1, 2005. The provider is also known as Chicago Department Of Public Health Revenue 3200.

Where is City Of Chicago located?

City Of Chicago is located at 111 W Washington St Fl 4, Chicago, IL 60602. The listed phone number is (312) 747-9884.

What is City Of Chicago's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is City Of Chicago enrolled in Medicare?

Yes. City Of Chicago is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through City Of Chicago?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to City Of Chicago. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for City Of Chicago was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.