Humboldt Park Health | |
1044 North Francisco Chicago IL 60622 | |
(773) 292-8200 | |
(773) 278-3899 |
Full Name | Humboldt Park Health |
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Speciality | General Acute Care Hospital |
Location | 1044 North Francisco, Chicago, Illinois |
Authorized Official Name and Position | Dorothy Cheryl Erins (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 2692445256 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Humboldt Park Health 1044 North Francisco Chicago IL 60622 Ph: (773) 292-8200 | Humboldt Park Health 1044 North Francisco Chicago IL 60622 Ph: (773) 292-8200 |
NPI Number | 1972594877 |
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Provider Enumeration Date | 10/31/2005 |
Last Update Date | 07/21/2022 |
Certification Date | 01/26/2021 |
Medicare PECOS PAC ID | 8921907072 |
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Medicare Enrollment ID | O20060417000521 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972594877 | NPI | - | NPPES |
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