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CHICAGO COMMUNITY MEDICAL CENTER
NPI 1306851233
Family Medicine in Chicago, IL

Active since July 29, 2006
2404 EAST 79TH ST, CHICAGO, IL 60649(773) 978-5900(773) 978-7656 Get Directions Write a Review

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

About Chicago Community Medical Center NPPES

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

CHICAGO COMMUNITY MEDICAL CENTER (NPI 1306851233) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Prem Lata Paul, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1306851233
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHICAGO COMMUNITY MEDICAL CENTER
Location Address2404 EAST 79TH STChicago, IL 60649-5112
Mailing Address155 Harbor Point #5212Chicago, IL 60601-7381 · (773) 978-5900 · Fax (773) 978-7656
Phone(773) 978-5900
Fax(773) 978-7656
Organization SubpartNo
Authorized OfficialPrem Lata PaulTreasurer · (773) 978-5900
Enumeration DateJuly 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306851233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2404 EAST 79TH ST, Chicago, IL 60649
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Community Medical Center's NPI number?

The NPI number for Chicago Community Medical Center is 1306851233. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Chicago Community Medical Center located?

Chicago Community Medical Center is located at 2404 East 79th St, Chicago, IL 60649. The listed phone number is (773) 978-5900.

What is Chicago Community Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Chicago Community Medical Center 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.