| Federacion De Clubes Michoacanos En Illinois | |
|
1638 S Blue Island Ave Chicago IL 60608-2134 | |
| (312) 491-9317 | |
| Not Available |
| Full Name | Federacion De Clubes Michoacanos En Illinois |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 1638 S Blue Island Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ariana Garfias (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 3124919317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Federacion De Clubes Michoacanos En Illinois 1638 S Blue Island Ave Chicago IL 60608-2134 Ph: (312) 491-9317 | Federacion De Clubes Michoacanos En Illinois 1638 S Blue Island Ave Chicago IL 60608-2134 Ph: (312) 491-9317 |
| NPI Number | 1962218834 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962218834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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