Provider Demographics
NPI:1316356850
Name:THE NIGHT MINISTRY
Entity type:Organization
Organization Name:THE NIGHT MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-BC
Authorized Official - Phone:312-996-7800
Mailing Address - Street 1:1735 N ASHLAND AVE STE 2000
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1412
Mailing Address - Country:US
Mailing Address - Phone:773-784-9000
Mailing Address - Fax:
Practice Address - Street 1:1735 N ASHLAND AVE STE 2000
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1412
Practice Address - Country:US
Practice Address - Phone:773-784-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251K00000XAgenciesPublic Health or Welfare