Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversey Health Care Clinic Inc

Organization Primary Care Clinic/Center · NPI 1225416308

Diversey Health Care Clinic Inc is a Primary Care Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4911 W Diversey Ave
Chicago, IL 60639-1705
Phone: (773) 237-3100
Fax: (855) 299-4948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 036.120095 (IL)

Record details

NPI number1225416308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Machado — President · (708) 738-7351
Other names Diversey Healthcare Clinic
NPI enumeratedMay 11, 2015
Last updated in NPPESAugust 21, 2015
Mailing address349 Buckingham Ct, Lombard, IL 60148-1667

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