MEDICARE: CHICAGO HEALTHWORKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		IL

General Provider Information

NPI Number	:	1013075506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO HEALTHWORKS

Provider Business Mailing Address
First Line	:	2724 W 47TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-1931
Country	:	US
Telephone Number	:	773-523-0361
Fax Number	:	773-523-7846

Provider Business Practice Location Address
First Line	:	2724 W 47TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-1931
Country	:	US
Telephone Number	:	773-523-0361
Fax Number	:	773-523-7846

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. NIDIAM ADORNO
Credential	:
Telephone Number	:	773-523-0361

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

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Directions to “CHICAGO HEALTHWORKS ” Practice Location

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