| Access Austin Family Health Center | |
|
4909 W Division Suite 508 Chicago IL 60651-3161 | |
| (312) 526-2200 | |
| Not Available |
| Full Name | Access Austin Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4909 W Division, Chicago, Illinois |
| Authorized Official Name and Position | Donna Thompson (CEO) |
| Authorized Official Contact | 3125262051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Austin Family Health Center 600 W Fulton Suite 200 Chicago IL 60661-1262 Ph: (312) 526-2051 | Access Austin Family Health Center 4909 W Division Suite 508 Chicago IL 60651-3161 Ph: (312) 526-2200 |
| NPI Number | 1841661089 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 9537076112 |
|---|---|
| Medicare Enrollment ID | O20160122000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841661089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | E9983542805 (Illinois) | Primary |
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