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WINFIELD MOODY HEALTH CENTER
NPI 1821079088
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since November 07, 2005CLIA 14D0706274 · Waiver
1276 N CLYBOURN AVE, CHICAGO, IL 60610(312) 337-1073(312) 337-7616 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Winfield Moody Health Center NPPES

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

WINFIELD MOODY HEALTH CENTER (NPI 1821079088) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Berneice Mills-thomas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1821079088
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEAR NORTH HEALTH SERVICE CORPORATION
Location Address1276 N CLYBOURN AVEChicago, IL 60610-2089
Mailing Address1276 N Clybourn AveChicago, IL 60610-2089 · (312) 337-1073 · Fax (312) 337-7616
Phone(312) 337-1073
Fax(312) 337-7616
Organization SubpartNo
Authorized OfficialBerneice Mills-thomasExecutive Director · (312) 337-1073
Enumeration DateNovember 7, 2005
Last NPPES UpdateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1821079088 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
1276 N CLYBOURN AVE, Chicago, IL 60610
Open in Google Maps ↗

Other Names 1

Doing Business AsWinfield Moody 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.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 14D0706274

Winfield Moody Health Center · Chicago, IL
Active · expires Nov 12, 2027
CLIA Number14D0706274
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorRichard Reinhard
Laboratory Phone(312) 337-1073
Laboratory LocationWinfield Moody Health Center1276 N Clybourn Ave, Chicago, IL 60610
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

ANDREW KOCH FNP
Nurse Practitioner (Family)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
NEAR NORTH HEALTH SERVICE CORPORATION
Public Health or Welfare
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (331) 643-5238
LEELA JAIN MD
Pediatrics
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
CHRISTINA SMITH LCSW
Social Worker (Clinical)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
MS. SYDNEY M JUNION DNP, AGNP-C
Nurse Practitioner
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
JAKESHA ROGERS
Social Worker
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
MRS. SARAH KEHINDE NKWOCHA APN
Nurse Practitioner (Family)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
DR. ROBERT SCOTT WALLER PSYD
Psychologist (Clinical)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073

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 1821079088. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is doing business as Winfield Moody Health Center.

Where is Near North Health Service Corporation located?

Near North Health Service Corporation is located at 1276 N Clybourn Ave, Chicago, IL 60610. 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 14D0706274) 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 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 July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.