MEDICARE: DH MEDICAL GROUP SC

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	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1477506442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DH MEDICAL GROUP SC

Provider Business Mailing Address
First Line	:	110 E 79TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-2302
Country	:	US
Telephone Number	:	773-874-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 E 79TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-2302
Country	:	US
Telephone Number	:	773-874-8200
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROCHELLE L HAWKINS
Credential	:	MD
Telephone Number	:	773-874-8200

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1386636520 — CHICAGO DEPARTMENT OF PUBLIC HEALTH
Practice Location Address:

110 E 79TH ST , CHATHAM MENTAL HEALTH CENTER
CHICAGO, IL
60619-2302

Practice Phone: 312-747-0901
Practice Fax: 312-651-5418

1093728867 — GILEAD BEHAVIORAL HEALTH SERVICES INC
Practice Location Address:

132 E 79TH ST
CHICAGO, IL
60619-2302

Practice Phone: 773-487-0515
Practice Fax:

1215940069 — DR. KAREN YVETTE DOUGLASS PSY.D
Practice Location Address:

132 E 79TH ST
CHICAGO, IL
60619-2302

Practice Phone: 773-487-0515
Practice Fax:

1518079599 — MS. JULIE MCLEAN LCSW
Practice Location Address:

132 E 79TH ST
CHICAGO, IL
60619-2302

Practice Phone: 773-487-0515
Practice Fax: 773-487-0525

1407916877 — DR. BEN JAMES WALLACE JR. D.D.S.
Practice Location Address:

110 E 79TH ST
CHICAGO, IL
60619-2302

Practice Phone: 773-488-6000
Practice Fax:

1811035546 — NUWAY COMMUNITY SERVICES, INC
Practice Location Address:

110 E 79TH ST
CHICAGO, IL
60619-2302

Practice Phone: 773-723-2790
Practice Fax: 773-723-2986

Directions to “DH MEDICAL GROUP SC ” 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 © 2007-2025 (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.