| Chicago Family Health Center | |
|
570 E 115th St Chicago IL 60628-5740 | |
| (773) 768-5000 | |
| (773) 840-3409 |
| Full Name | Chicago Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 570 E 115th St, Chicago, Illinois |
| Authorized Official Name and Position | Joseph Eric Boklage (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7737685000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Family Health Center 9119 S Exchange Ave Chicago IL 60617-4225 Ph: (773) 768-5000 | Chicago Family Health Center 570 E 115th St Chicago IL 60628-5740 Ph: (773) 768-5000 |
| NPI Number | 1063614923 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 09/21/2016 |
| Medicare PECOS PAC ID | 6608765417 |
|---|---|
| Medicare Enrollment ID | O20081107000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063614923 | NPI | - | NPPES |
| 097001196 | Other | IL | CONTROL SUBSTANCE LICENSE |
| 7991 | Other | IL | CITY LICENSE |
| 14D0696915 | Other | IL | CLIA CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |