SUNNYSIDE HEALTH CENTER
NPI 1659725133
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since April 20, 2016CLIA 14D0913910 · Microscopy
4140 N BROADWAY ST, CHICAGO, IL 60613(773) 878-8098 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sunnyside Health Center NPPES

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

SUNNYSIDE HEALTH CENTER (NPI 1659725133) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through February 28, 2027 and lists Triste Smith, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1659725133
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEAR NORTH HEALTH SERVICE CORPORATION
Location Address4140 N BROADWAY STChicago, IL 60613-2121
Mailing Address1276 N Clybourn AveChicago, IL 60610-2089 · (312) 337-1073
Organization SubpartNo
Authorized OfficialTriste SmithChief Executive Officer · (312) 337-1073
Enumeration DateApril 20, 2016
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
NPI 1659725133 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
4140 N BROADWAY ST, Chicago, IL 60613

Other Names 1

Doing Business AsSunnyside Health Center

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0913910

Sunnyside Health Center · Chicago, IL
Active · expires Feb 28, 2027
CLIA Number14D0913910
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorStephanie Cox-Baston
Laboratory Phone(773) 878-8098
Laboratory LocationSunnyside Health Center4138-4140 N Broadway Ave - Ste 107, Chicago, IL 60613
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1659725133. It was assigned to this organization in the NPPES registry on April 20, 2016. The provider is doing business as Sunnyside Health Center.

Where is Near North Health Service Corporation located?

Near North Health Service Corporation is located at 4140 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 878-8098.

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.

Does Near North Health Service Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0913910) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Near North Health Service Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.