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CDPH
NPI 1275525412
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since August 15, 2005
4314 S COTTAGE GROVE AVE, GREATER GRAND MENTAL HEALTH CENTER, CHICAGO, IL 60653(312) 747-0036(312) 747-2208 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cdph NPPES

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

CDPH (NPI 1275525412) 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

NPI1275525412
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHICAGO DEPARTMENT OF PUBLIC HEALTH
Location Address4314 S COTTAGE GROVE AVE, GREATER GRAND MENTAL HEALTH CENTERChicago, IL 60653-3514
Mailing Address333 S State St, #200 Chicago Department Of Public HealthChicago, IL 60604-3900 · (312) 747-9443 · Fax (312) 747-9447
Phone(312) 747-0036
Fax(312) 747-2208
Organization SubpartNo
Authorized OfficialSarai M JacksonDirector Of Revenue · (312) 747-9443
Enumeration DateAugust 15, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275525412 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
4314 S COTTAGE GROVE AVE, Chicago, IL 60653
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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.

LATRELLE LOWE KERNEY LCPC
Counselor (Professional)
4314 S COTTAGE GROVE AVE, SUITE 208
CHICAGO, IL 60653
Cook County (312) 747-0036
LAUREL BETH GOLDMAN
Counselor (Mental Health)
4314 S COTTAGE GROVE AVE
CHICAGO, IL 60653
Cook County (312) 747-0036
MS. IDA B JACKSON LCPC,
Counselor (Mental Health)
4314 S COTTAGE GROVE AVE, SUITE 208
CHICAGO, IL 60653
Cook County (312) 747-0036
MRS. CATHERINE HOUSE CLINCIAL THERAPIST
Counselor (Mental Health)
4314 S COTTAGE GROVE AVE, SUITE 208
CHICAGO, IL 60653
Cook County (312) 747-0036
MS. CHANDRA DOCKERY M.A.
Counselor (Professional)
4314 S COTTAGE GROVE AVE
CHICAGO, IL 60653
Cook County (773) 350-3749

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 1275525412. 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 4314 S Cottage Grove Ave Greater Grand Mental Health Center, Chicago, IL 60653. The listed phone number is (312) 747-0036.

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.