Basic Information
| Provider Information | |||||||||
| NPI: | 1164693107 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HEALTHY PEOPLE, 2000 INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1006A E. 62ND ST | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7736679870 | ||||||||
| FaxNumber: | 7736679871 | ||||||||
| Practice Location | |||||||||
| Address1: | 1006 E 62ND ST UNIT A | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606372773 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7736679870 | ||||||||
| FaxNumber: | 7736679871 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2008 | ||||||||
| LastUpdateDate: | 03/25/2008 | ||||||||
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| AuthorizedOfficialLastName: | YOUNG | ||||||||
| AuthorizedOfficialFirstName: | PATRICIA | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7736679870 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | IL | Y | Agencies | Community/Behavioral Health |
No ID Information.