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SALAAM COMMUNITY WELLNESS CENTER
NPI 1376127225
Internal Medicine - Addiction Medicine in Chicago, IL

Active since May 07, 2021
613 E 67TH ST, CHICAGO, IL 60637(773) 207-3540 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2022, May 7, 2021 (2 updates tracked since 2021).

About Salaam Community Wellness Center NPPES

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

SALAAM COMMUNITY WELLNESS CENTER (NPI 1376127225) is a healthcare organization registered as an addiction medicine in Chicago, Illinois and active in the NPI registry since May 2021. The organization lists Constance Diane Shabazz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376127225
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameSALAAM COMMUNITY WELLNESS CENTER
Location Address613 E 67TH STChicago, IL 60637-4122
Mailing Address18613 Jana Patrice DrPflugerville, TX 78660-7584 · (773) 330-4115
Phone(773) 207-3540
Organization SubpartNo
Authorized OfficialConstance Diane ShabazzCeo · (773) 330-4115
Enumeration DateMay 7, 2021
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1376127225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
613 E 67TH ST, Chicago, IL 60637
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PATRICE MUHAMMAD PA-C
Physician Assistant
613 E 67TH ST
CHICAGO, IL 60637
Cook County (773) 435-9493
TRIPLE G WELLNESS CORPORATION
Internal Medicine
613 E 67TH ST
CHICAGO, IL 60637
Cook County (773) 435-9493

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 Salaam Community Wellness Center's NPI number?

The NPI number for Salaam Community Wellness Center is 1376127225. It was assigned to this organization in the NPPES registry on May 7, 2021.

Where is Salaam Community Wellness Center located?

Salaam Community Wellness Center is located at 613 E 67th St, Chicago, IL 60637. The listed phone number is (773) 207-3540.

What is Salaam Community Wellness Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Salaam Community Wellness Center was last updated on May 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.