CDPH
NPI 1255333639
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since August 15, 2005
1140 W 79TH ST, CHICAGO, IL 60620(312) 747-0881(312) 747-7796 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cdph NPPES

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

CDPH (NPI 1255333639) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since August 2005. The organization lists Sarai M Jackson, Director Of Revenue, as its authorized official.

NPPES Registry Identity

NPI1255333639
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHICAGO DEPARTMENT OF PUBLIC HEALTH
Location Address1140 W 79TH STChicago, IL 60620-3029
Mailing Address333 S State St, Revenue #200Chicago, IL 60604-3900 · (312) 747-9443 · Fax (312) 747-9447
Fax(312) 747-7796
Organization SubpartNo
Authorized OfficialSarai M JacksonDirector Of Revenue · (312) 747-9443
Enumeration DateAugust 15, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1255333639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1140 W 79TH ST, Chicago, IL 60620

Other Names 1

Other NameCdph

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Exclusive Provider Organization
1140 W 79TH ST
CHICAGO, IL 60620
Clinic/Center (Mental Health (Including Community Mental Health Center))
1140 W 79TH ST
CHICAGO, IL 60620
Counselor (Mental Health)
1140 W 79TH ST
CHICAGO, IL 60620
Counselor (Mental Health)
1140 W 79TH ST
CHICAGO, IL 60620
Clinic/Center (Federally Qualified Health Center (FQHC))
1140 W 79TH ST
CHICAGO, IL 60620

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 Chicago Department Of Public Health's NPI number?

The NPI number for Chicago Department Of Public Health is 1255333639. It was assigned to this organization in the NPPES registry on August 15, 2005. The provider is also known as Cdph.

Where is Chicago Department Of Public Health located?

Chicago Department Of Public Health is located at 1140 W 79th St, Chicago, IL 60620. The listed phone number is (312) 747-0881.

What is Chicago Department Of Public Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Chicago Department Of Public Health was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.