CHICAGO STATE UNIVERSITY
NPI 1861928509
Clinic/Center in Chicago, IL

Q: What is Chicago State University's NPI number?

The NPI number for Chicago State University is 1861928509. It was assigned to this organization in the NPPES registry on May 1, 2017.

Q: What is Chicago State University's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 01, 2017

11228 S EMERALD AVE, CHICAGO, IL 60628(773) 821-7155 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Chicago State University NPPES

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

CHICAGO STATE UNIVERSITY (NPI 1861928509) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since May 2017. The organization lists Lisa Young, Chairperson, as its authorized official.

NPPES Registry Identity

NPI1861928509

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCHICAGO STATE UNIVERSITY

Location Address11228 S EMERALD AVEChicago, IL 60628-4707

Mailing Address11228 S Emerald AveChicago, IL 60628-4707 · (773) 821-7155

Phone(773) 821-7155

Organization SubpartNo

Authorized OfficialLisa YoungChairperson · (773) 995-2000

Enumeration DateMay 1, 2017

✔ NPI 1861928509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in IL · 209015881

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11228 S EMERALD AVE, Chicago, IL 60628

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

LEAP 4 HEALTH

Nurse Practitioner (Family)

11228 S EMERALD AVE
CHICAGO, IL 60628

Cook County (773) 425-9946

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 Chicago State University's NPI number?

The NPI number for Chicago State University is 1861928509. It was assigned to this organization in the NPPES registry on May 1, 2017.

Where is Chicago State University located?

Chicago State University is located at 11228 S Emerald Ave, Chicago, IL 60628. The listed phone number is (773) 821-7155.

What is Chicago State University's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Chicago State University was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.