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Contact Information

HOWARD BROWN HEALTH CENTER
4025 N SHERIDAN RD
CHICAGO, IL60613
 Phone: 773-388-1600
 Fax: 773-388-8936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for HOWARD BROWN HEALTH CENTER

NPI Number 1306048632
LBN Legal business name HOWARD BROWN HEALTH CENTER
Authorized official BURGUNDY JOHNSON - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2007
Last updated 04/10/2025 - More than a year ago
Identifiers
IL License # 30411
IL Other 30411 STATE LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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