BRONZEVILLE HEALTH CENTER
NPI 1558475863
Clinic/Center - Primary Care in Chicago, IL

Active since August 17, 2006CLIA 14D2320913 · Waiver
467 EAST 31ST STREET, CHICAGO, IL 60616(312) 864-0200 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2024, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Bronzeville Health Center NPPES

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

BRONZEVILLE HEALTH CENTER (NPI 1558475863) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Scott Andrle, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1558475863
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJOHN H STROGER HOSPITAL OF COOK COUNTY
Location Address467 EAST 31ST STREETChicago, IL 60616
Mailing Address467 East 31st StreetChicago, IL 60616
Organization SubpartYesParent: Cook County
Authorized OfficialScott AndrleDirector Of Managed Care · (312) 864-4649
Enumeration DateAugust 17, 2006
Last NPPES UpdateNovember 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1558475863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
467 EAST 31ST STREET, Chicago, IL 60616

Other Names 1

Doing Business AsBronzeville 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 of Waiver 14D2320913

Bronzeville Health Center · Chicago, IL
Active · expires Mar 25, 2027
CLIA Number14D2320913
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorWhitney Lyn
Laboratory Phone(312) 572-1066
Laboratory LocationBronzeville Health Center467 E 31st, Chicago, IL 60616
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Multi-Specialty)
467 EAST 31ST STREET
CHICAGO, IL 60616

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 John H Stroger Hospital Of Cook County's NPI number?

The NPI number for John H Stroger Hospital Of Cook County is 1558475863. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider is doing business as Bronzeville Health Center.

Where is John H Stroger Hospital Of Cook County located?

John H Stroger Hospital Of Cook County is located at 467 East 31st Street, Chicago, IL 60616. The listed phone number is (312) 864-0200.

What is John H Stroger Hospital Of Cook County's specialty?

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

Does John H Stroger Hospital Of Cook County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2320913) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John H Stroger Hospital Of Cook County was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.