| Lawndale Christian Health Center | |
|
3219 W Carroll Ave Chicago IL 60624-2031 | |
| (872) 588-3000 | |
| Not Available |
| Full Name | Lawndale Christian Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3219 W Carroll Ave, Chicago, Illinois |
| Authorized Official Name and Position | Karen Renee Johnson (ASST DIR OF PATIENT ACCOUNTING) |
| Authorized Official Contact | 8725883000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawndale Christian Health Center 3860 W Ogden Ave Chicago IL 60623-2460 Ph: (872) 588-3000 | Lawndale Christian Health Center 3219 W Carroll Ave Chicago IL 60624-2031 Ph: (872) 588-3000 |
| NPI Number | 1831590421 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Medicare PECOS PAC ID | 2264336346 |
|---|---|
| Medicare Enrollment ID | O20141114001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831590421 | NPI | - | NPPES |
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