CHRISTIAN COMMUNITY HEALTH CENTER
NPI 1306106679
Internal Medicine in Chicago, IL
- Organization
- Internal Medicine
- CLIA Number: 14D1077135
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 02-17-2026
About CHRISTIAN COMMUNITY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Christian Community Health Center, an internist established in Chicago, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1306106679 assigned on May 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Christian Community Health Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Kenneth Burnett (Ceo)
- NPI
- 1306106679 Verify this NPI
- Provider Name
- CHRISTIAN COMMUNITY HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 9718 S HALSTED ST CHICAGO, IL 60628
- Location Phone
- (773) 233-4100
- Mailing Address
- PO BOX 288080 CHICAGO, IL 60628
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2012
- Last Update Date
- 02-09-2022
- Code Navigator
An internist like Christian Community Health Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1077135
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- February 18, 2024
- Certificate Expiration Date
- February 17, 2026
- Laboratory Director
- VICTOR E. THOMAS M D
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Christian Community Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60628
CHICAGO, IL 60628
CHICAGO, IL 60628
CHICAGO, IL 60628
CHICAGO, IL 60628
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306106679, enumerated as an "organization" on May 21, 2012.
The provider is located at 9718 S HALSTED ST CHICAGO, IL 60628 and the phone number is (773) 233-4100.
Internal Medicine with taxonomy code 207R00000X.
