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1356876387 NPI number — HOWARD BROWN HEALTH CENTER

NPI Number: 1356876387
Health Care Provider/Practitioner: HOWARD BROWN HEALTH CENTER

Information about “1356876387” NPI (HOWARD BROWN HEALTH CENTER) exists in 1356876387 in HTML format HTML  |  1356876387 in plain Text format TXT  |  1356876387 in PDF (Portable Document Format) PDF  |  1356876387 in an XML format XML  formats.

NPI Number : 1356876387 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356876387",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOWARD BROWN HEALTH CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4025 N SHERIDAN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60613-2010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-388-1600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5537 N BROADWAY ST",
    "SecondLinePracticeLocationAddress": "STE 101",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60640-1405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-388-1600",
    "PracticeLocationAddressFaxNumber": "773-388-8936",
    "EnumerationDate": "04/27/2017",
    "LastUpdateDate": "04/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSON",
    "AuthorizedOfficialFirstName": "BURGUNDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BILLING MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "872-269-3491",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QF0400X",
        "TaxonomyName": "Federally Qualified Health Center (FQHC)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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