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

Humboldt Park Health Emergency Medicine, LLC

Organization Emergency Medicine Physician · NPI 1104592120

Humboldt Park Health Emergency Medicine, LLC is an Emergency Medicine Physician in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone: (773) 292-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1104592120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Porter — Cfo · (773) 772-3035
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834

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