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NEAR NORTH HEALTH CORPORATION MOBILE UNIT
NPI 1952035123
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since July 13, 2022
1276 N CLYBOURN AVE, CHICAGO, IL 60610(312) 337-1073(312) 337-5264 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Feb 2, 2023, Jul 13, 2022 (2 updates tracked since 2022).

About Near North Health Corporation Mobile Unit NPPES

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

NEAR NORTH HEALTH CORPORATION MOBILE UNIT (NPI 1952035123) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since July 2022. The organization lists Cush Mvududu, Controller, as its authorized official.

NPPES Registry Identity

NPI1952035123
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEAR NORTH HEALTH SERVICE CORPORATION
Location Address1276 N CLYBOURN AVEChicago, IL 60610-2003
Mailing Address1276 N Clybourn AveChicago, IL 60610-2003 · (331) 643-5238 · Fax (312) 337-1794
Phone(312) 337-1073
Fax(312) 337-5264
Organization SubpartYes
Authorized OfficialCush MvududuController · (312) 337-1073
Enumeration DateJuly 13, 2022
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1952035123 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
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Other Names 1

Other NameNear North Health Corporation Mobile Unit

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 1952035123. It was assigned to this organization in the NPPES registry on July 13, 2022. The provider is also known as Near North Health Corporation Mobile Unit.

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.

When was this NPI record last updated?

The NPPES record for Near North Health Service Corporation was last updated on February 2, 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.