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BELOVED COMMUNITY FAMILY WELLNESS CENTER
NPI 1760408439
Clinic/Center - Primary Care in Chicago, IL

Active since July 14, 2006
6821 S HALSTED ST, CHICAGO, IL 60621(773) 765-1382(773) 651-3648 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beloved Community Family Wellness Center NPPES

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

BELOVED COMMUNITY FAMILY WELLNESS CENTER (NPI 1760408439) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Margie Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760408439
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBELOVED COMMUNITY FAMILY WELLNESS CENTER
Location Address6821 S HALSTED STChicago, IL 60621-1833
Mailing Address326 W 64th StChicago, IL 60621-3114 · (773) 651-3828 · Fax (773) 651-3648
Phone(773) 765-1382
Fax(773) 651-3648
Organization SubpartNo
Authorized OfficialMargie JohnsonExecutive Director · (773) 651-3828
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1760408439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 261QP2300X
6821 S HALSTED ST, Chicago, IL 60621
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Other Identifiers 2

Medicare PIN14-1075IL
Medicaid=========0001IL

Other Providers at the Same Location NPPES 20

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

BELOVED COMMUNITY FAMILY WELLNESS CTR
Health Maintenance Organization
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629
ZELMARION DUNN
Registered Nurse
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629
BELOVED COMMUNITY FAMILY WELLNESS CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629
KHADIJAH SUMMERS
Registered Nurse
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629
LENITA WEATHERSBY
Registered Nurse (General Practice)
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629
ELLA CECILIA HERAS
Nurse Practitioner (Primary Care)
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629
NITA MARCHANT
Counselor (Addiction (Substance Use Disorder))
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629
ALEKSANDRA WIAK REGISTERED DIETITIAN
Dietitian, Registered
6821 S HALSTED ST
CHICAGO, IL 60621
Cook County (773) 651-3629

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 Beloved Community Family Wellness Center's NPI number?

The NPI number for Beloved Community Family Wellness Center is 1760408439. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Beloved Community Family Wellness Center located?

Beloved Community Family Wellness Center is located at 6821 S Halsted St, Chicago, IL 60621. The listed phone number is (773) 765-1382.

What is Beloved Community Family Wellness Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Beloved Community Family Wellness Center was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.