Beloved Community Family Wellness Center | |
6821 S Halsted St Chicago IL 60621-1833 | |
(773) 651-3629 | |
Not Available |
Full Name | Beloved Community Family Wellness Center |
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Speciality | Community/behavioral Health |
Location | 6821 S Halsted St, Chicago, Illinois |
Authorized Official Name and Position | Margie Johnson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7736513629 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beloved Community Family Wellness Center 6821 S Halsted St Chicago IL 60621-1833 Ph: () - | Beloved Community Family Wellness Center 6821 S Halsted St Chicago IL 60621-1833 Ph: (773) 651-3629 |
NPI Number | 1700337243 |
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Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
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1700337243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 25812 (Illinois) | Primary |
251S00000X | Community/behavioral Health | 31898 (Illinois) | Secondary |
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