NEAR NORTH HEALTH SERV KOMED
NPI 1346221553
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Q: What is Near North Health Service Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 07, 2005

4259 S BERKELEY AVE, CHICAGO, IL 60653(773) 268-7600(773) 268-9088 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Near North Health Serv Komed NPPES

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

NEAR NORTH HEALTH SERV KOMED (NPI 1346221553) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since November 2005. The organization lists Berneice Mills-thomas, Executive, as its authorized official.

NPPES Registry Identity

NPI1346221553

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNEAR NORTH HEALTH SERVICE CORPORATION

Location Address4259 S BERKELEY AVEChicago, IL 60653-3030

Mailing Address1276 N Clybourn AveChicago, IL 60610-2089 · (773) 268-7600 · Fax (773) 268-9088

Phone(773) 268-7600

Fax(773) 268-9088

Organization SubpartNo

Authorized OfficialBerneice Mills-thomasExecutive · (312) 337-1073

Enumeration DateNovember 7, 2005

Last NPPES UpdateJuly 21, 2021

NPPES CertifiedJuly 21, 2021

✔ NPI 1346221553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

4259 S BERKELEY AVE, Chicago, IL 60653

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Other Names 1

Doing Business AsNear North Health Serv Komed

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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Other Providers at the Same Location NPPES 15

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

ADEWALE OLAILAN LAWAL DMD

Dentist (General Practice)

4259 S BERKELEY AVE
CHICAGO, IL 60653

Cook County (312) 646-6620

MIGUEL BAUTISTA CADC

Counselor (Addiction (Substance Use Disorder))

4259 S BERKELEY AVE
CHICAGO, IL 60653

Cook County (773) 268-7600

JENNY HYE JIN CHA-KIM M.D.

Pediatrics

4259 S BERKELEY AVE
CHICAGO, IL 60653

Cook County (773) 268-7600

DR. GREGORY C. VACHON M.D.

Internal Medicine

4259 S BERKELEY AVE, KOMED HEALTH CENTER
CHICAGO, IL 60653

Cook County (312) 285-7678

SAMANTHA KUFTA D.M.D

Dentist (Dental Public Health)

4259 S BERKELEY AVE
CHICAGO, IL 60653

Cook County (630) 965-7306

MRS. MARY CAITLIN GONDEK APN

Nurse Practitioner (Family)

4259 S BERKELEY AVE
CHICAGO, IL 60653

Cook County (773) 268-7600

KAYLA MARCHELLE JONES APN

Nurse Practitioner (Family)

4259 S BERKELEY AVE
CHICAGO, IL 60653

Cook County (773) 268-7600

MS. GLENDA D ODEN RD, CDE, LDN

Dietitian, Registered (Nutrition, Obesity and Weight Management)

4259 S BERKELEY AVE
CHICAGO, IL 60653

Cook County (773) 268-7600

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 Near North Health Service Corporation's NPI number?

The NPI number for Near North Health Service Corporation is 1346221553. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is doing business as Near North Health Serv Komed.

Where is Near North Health Service Corporation located?

Near North Health Service Corporation is located at 4259 S Berkeley Ave, Chicago, IL 60653. The listed phone number is (773) 268-7600.

What is Near North Health Service Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Near North Health Service Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Near North Health Service Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Near North Health Service Corporation was last updated on July 21, 2021. 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.