CITY OF EVANSTON - NPI 1790957884 - Clinic/Center in Evanston, IL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP0905X and a focus in Public Health, State or Local.

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About City Of Evanston NPPES

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

CITY OF EVANSTON (NPI 1790957884) is a healthcare organization registered as a public health, state or local in Evanston, Illinois and active in the NPI registry since March 2008. The organization lists Carla Bush, Chief, Community Health Services, as its authorized official.

NPPES Registry Identity

NPI1790957884

Entity TypeOrganization

Primary Taxonomy261QP0905X

Legal Business NameCITY OF EVANSTON

Location Address2100 RIDGE AVE, CHILDREN'S DENTAL CLINICEvanston, IL 60201-2716

Mailing Address2100 Ridge Ave, Children's Dental ClinicEvanston, IL 60201-2716 · (847) 866-2953 · Fax (847) 448-8134

Phone(847) 866-2953

Fax(847) 448-8134

Organization SubpartNo

Authorized OfficialCarla BushChief, Community Health Services · (847) 328-2100

Enumeration DateMarch 28, 2008

✔ NPI 1790957884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities

Taxonomy Code261QP0905X

2100 RIDGE AVE, Evanston, IL 60201

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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.

DR. ESPERANZA G SALVADOR M.D.

Preventive Medicine (Public Health & General Preventive Medicine)