22ND CENTURY HEALTHCARE, P.C.
NPI 1558595272
General Practice in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since May 09, 2009

875 N MICHIGAN AVE, SUITE 3100, CHICAGO, IL 60611(773) 362-5461 Get Directions Write a Review

NPPES record last updated: May 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About 22nd Century Healthcare, P.c. NPPES

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

22ND CENTURY HEALTHCARE, P.C. (NPI 1558595272) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2009. The organization lists Bo Headlam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558595272

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business Name22ND CENTURY HEALTHCARE, P.C.

Location Address875 N MICHIGAN AVE, SUITE 3100Chicago, IL 60611-1803

Mailing Address3712 N Broadway St, Suite 629Chicago, IL 60613-4235

Phone(773) 362-5461

Organization SubpartNo

Authorized OfficialBo HeadlamCeo · (773) 362-5461

Enumeration DateMay 9, 2009

✔ NPI 1558595272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

875 N MICHIGAN AVE, Chicago, IL 60611

Open in Google Maps ↗

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