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NORTH AND KOSTNER HEALTH CENTER
NPI 1720404494
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since March 05, 2014CLIA 14D2072216 · Waiver
1520 N KOSTNER AVE, CHICAGO, IL 60651(312) 337-1073(312) 337-7616 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About North And Kostner Health Center NPPES

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

NORTH AND KOSTNER HEALTH CENTER (NPI 1720404494) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Cush Mvududu, Controller, as its authorized official.

NPPES Registry Identity

NPI1720404494
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEAR NORTH HEALTH SERVICE CORPORATION
Location Address1520 N KOSTNER AVEChicago, IL 60651-1610
Mailing Address1520 N Kostner AveChicago, IL 60651-1610 · (312) 337-1073 · Fax (312) 337-7616
Phone(312) 337-1073
Fax(312) 337-7616
Organization SubpartNo
Authorized OfficialCush MvududuController · (312) 337-1073
Enumeration DateMarch 5, 2014
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedJuly 21, 2021
✔ NPI 1720404494 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
License✔ Licensed in IL · 2307802
1520 N KOSTNER AVE, Chicago, IL 60651
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth And Kostner Health Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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 of Waiver 14D2072216

North & Kostner Health Center · Chicago, IL
Active · expires Nov 12, 2027
CLIA Number14D2072216
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorRichard Reinhard
Laboratory Phone(312) 337-1073
Laboratory LocationNorth & Kostner Health Center1520 N Kostner Ave, Chicago, IL 60651
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MISS LISETT TITO LCSW
Social Worker (Clinical)
1520 N KOSTNER AVE
CHICAGO, IL 60651
Cook County (312) 216-8040
DR. KERRI MICHELLE LOCKHART M.D.
Pediatrics
1520 N KOSTNER AVE
CHICAGO, IL 60651
Cook County (312) 216-8020
LAURA CASTELAO LCSW
Social Worker (Clinical)
1520 N KOSTNER AVE
CHICAGO, IL 60651
Cook County (312) 216-8020
MRS. REBECCA LEE KUENNEN JEHL APN-CNP
Nurse Practitioner
1520 N KOSTNER AVE
CHICAGO, IL 60651
Cook County (312) 337-1073
MRS. EVA ASTACIO RDH
Dental Hygienist
1520 N KOSTNER AVE
CHICAGO, IL 60651
Cook County (312) 216-8020

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 1720404494. It was assigned to this organization in the NPPES registry on March 5, 2014. The provider is doing business as North And Kostner Health Center.

Where is Near North Health Service Corporation located?

Near North Health Service Corporation is located at 1520 N Kostner Ave, Chicago, IL 60651. The listed phone number is (312) 337-1073.

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 of Waiver (number 14D2072216) is associated with this NPI, valid through November 12, 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, Ambetter from Home State Health and UnitedHealthcare 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 January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.