| Chicago Family Health Center - Cvca | |
|
2100 E 87th St Chicago IL 60617-3011 | |
| (773) 768-5000 | |
| Not Available |
| Full Name | Chicago Family Health Center - Cvca |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 E 87th St, Chicago, Illinois |
| Authorized Official Name and Position | Joseph Moldovan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7733642206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Family Health Center - Cvca 9119 S Exchange Ave Chicago IL 60617-4225 Ph: (773) 768-5000 | Chicago Family Health Center - Cvca 2100 E 87th St Chicago IL 60617-3011 Ph: (773) 768-5000 |
| NPI Number | 1528390507 |
|---|---|
| Provider Enumeration Date | 02/02/2010 |
| Last Update Date | 05/17/2019 |
| Medicare PECOS PAC ID | 6608765417 |
|---|---|
| Medicare Enrollment ID | O20190423001480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528390507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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