MEDICARE: EAST CHICAGO COMMUNITY HEALTH CENTER, INC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1609912492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST CHICAGO COMMUNITY HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	PO BOX 59
Second Line	:	1313 W CHICAGO AVENUE
City	:	EAST CHICAGO
State	:	IN
Zip	:	46312-0000
Country	:	US
Telephone Number	:	219-397-1196
Fax Number	:	219-398-4981

Provider Business Practice Location Address
First Line	:	1313 W CHCAGO AVENUE
Second Line	:
City	:	EAST CHICAGO
State	:	IN
Zip	:	46312-0000
Country	:	US
Telephone Number	:	219-397-1196
Fax Number	:	219-398-4981

Authorized Official
Title or Position	:	CEO
Name	:	MR. DWAYNE MITCHELL
Credential	:
Telephone Number	:	219-392-4900

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	03/29/2013

Similar Medicare Providers

1639453871 — EAST CHICAGO COMMUNITY HEALTH CENTER
Practice Location Address:

3903 INDIANAPOLIS BLVD , EAST CHICAGO COMMUNITY HEALTH CENTER AT REGIONAL
EAST CHICAGO, IN
46312-0000

Practice Phone: 219-397-1196
Practice Fax: 219-398-1630

1447243373 — MR. MAREK WALCZYK M.D.
Practice Location Address:

5519 N. CUMBERLAND AVE. , STE 1016
CHICAGO, IL
60656-0000

Practice Phone: 708-224-8840
Practice Fax: 773-594-7720

1649244336 — JACK GLENN HUGULEY PA
Practice Location Address:

811 SOUTH STATE STREET , SUITEB
CHICAGO, IL
60605-0000

Practice Phone: 312-566-9510
Practice Fax: 312-566-9511

1366537953 — PRESENCE SAINT JOSEPH HOSPITAL
Practice Location Address:

711 WEST NORTH AVENUE
CHICAGO, IL
60610-0000

Practice Phone: 312-337-1982
Practice Fax: 312-642-3847

1124116876 — PRESENCE SAINT JOSEPH HOSPITAL
Practice Location Address:

2900 NORTH LAKESHORE DRIVE , 1ST FLOOR CLINIC
CHICAGO, IL
60657-0000

Practice Phone: 773-665-3080
Practice Fax: 773-665-3498

1629166913 — MELISSA DAWN SGROI MSPT
Practice Location Address:

221 N LASALLE STREET
CHICAGO, IL
60601-0000

Practice Phone: 312-855-9206
Practice Fax:

Directions to “EAST CHICAGO COMMUNITY HEALTH CENTER, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.