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DR. JORGE PRIETO HEALTH CENTER
NPI 1609407691
Family Medicine in Chicago, IL

Active since January 29, 2020CLIA 14D0883273 · Waiver
2424 S PULASKI RD, CHICAGO, IL 60623(773) 521-0750 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2020, Feb 13, 2020, Jan 29, 2020 (3 updates tracked since 2020).

About Dr. Jorge Prieto Health Center NPPES

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

DR. JORGE PRIETO HEALTH CENTER (NPI 1609407691) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through August 9, 2026 and lists Scott Andrle, Director Of Managed Care Operations, as its authorized official.

NPPES Registry Identity

NPI1609407691
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOK COUNTY
Location Address2424 S PULASKI RDChicago, IL 60623-3718
Mailing Address1900 W Polk St Rm 220cChicago, IL 60612-3723
Phone(773) 521-0750
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateJanuary 29, 2020
Last NPPES UpdateMarch 2, 20203 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1609407691 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.

2424 S PULASKI RD, Chicago, IL 60623
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Other Names 1

Doing Business AsDr. Jorge Prieto Health Center

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

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 14D0883273

Dr Jorge Prieto Health Center · Chicago, IL
Active · expires Aug 9, 2026
CLIA Number14D0883273
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorNorbert Debiase
Laboratory Phone(773) 257-8360
Laboratory LocationDr Jorge Prieto Health Center2424 S Pulaski Road, Chicago, IL 60623
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 7

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

ALEXANDRA M REYES LCSW
Social Worker (Clinical)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 257-8339
COOK COUNTY
Clinic/Center (Primary Care)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 521-0750
CAROLYN ANN CONDIFF
Dental Hygienist
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 521-0750
MS. KRISTINE M. HEALY MPH, PA-C
Physician Assistant (Medical)
2424 S PULASKI RD, DR. JORGE PRIETO FAMILY HEALTH CENTER
CHICAGO, IL 60623
Cook County (773) 521-0750
NATIVIDAD CALIXTO
Social Worker (Clinical)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 225-6860
ESMERALDA FLORES LCSW
Social Worker (Clinical)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 257-8339
JAMES GERARD DONAHUE LSW
Counselor (Mental Health)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 257-8339

Frequently Asked Questions

What is COOK COUNTY's NPI number?

The NPI number assigned to this healthcare provider is 1609407691, enumerated as an "organization" on January 29, 2020.

Where is the provider located?

The provider is located at 2424 S PULASKI RD CHICAGO, IL 60623 and the phone number is (773) 521-0750.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.