ENGLEWOOD HEALTH CENTER
NPI 1295855096
Clinic/Center - Primary Care in Chicago, IL

Active since March 29, 2007CLIA 14D1030579 · Microscopy
1135 W 69TH ST, CHICAGO, IL 60621(773) 483-5011 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Feb 22, 2019 (2 updates tracked since 2019).

About Englewood Health Center NPPES

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

ENGLEWOOD HEALTH CENTER (NPI 1295855096) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 8, 2026 and lists Scott Andrle, Director Of Managed Care Operations, as its authorized official.

NPPES Registry Identity

NPI1295855096
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOOK COUNTY
Location Address1135 W 69TH STChicago, IL 60621-1147
Mailing Address1900 W Polk St Rm 220cChicago, IL 60612-3723 · (312) 864-4649
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateMarch 29, 2007
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
NPI 1295855096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 0005272
1135 W 69TH ST, Chicago, IL 60621

Other Names 1

Doing Business AsEnglewood Health Center

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 for Provider-Performed Microscopy Procedures (PPMP) 14D1030579

Englewood Health Center · Chicago, IL
Active · expires Sep 8, 2026
CLIA Number14D1030579
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorCharles Edoigiawerie MD
Laboratory Phone(773) 483-6470
Laboratory LocationEnglewood Health Center1135 West 69th Street, Chicago, IL 60621
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

Family Medicine
1135 W 69TH ST
CHICAGO, IL 60621
Physician Assistant
1135 W 69TH ST
CHICAGO, IL 60621
Family Medicine
1135 W 69TH ST
CHICAGO, IL 60621
Family Medicine
1135 W 69TH ST
CHICAGO, IL 60621
Social Worker (Clinical)
1135 W 69TH ST
CHICAGO, IL 60621
Family Medicine
1135 W 69TH ST
CHICAGO, IL 60621
Physician Assistant
1135 W 69TH ST
CHICAGO, IL 60621

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 Cook County's NPI number?

The NPI number for Cook County is 1295855096. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Englewood Health Center.

Where is Cook County located?

Cook County is located at 1135 W 69th St, Chicago, IL 60621. The listed phone number is (773) 483-5011.

What is Cook County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cook County hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1030579) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cook County was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.