| Chicago Family Health Center - P | |
|
556 E 115th St Chicago IL 60628-5740 | |
| (773) 768-5000 | |
| Not Available |
| Full Name | Chicago Family Health Center - P |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 556 E 115th St, Chicago, Illinois |
| Authorized Official Name and Position | Warren Brodine (CEO) |
| Authorized Official Contact | 7737685000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Family Health Center - P 9119 S Exchange Ave Chicago IL 60617-4225 Ph: () - | Chicago Family Health Center - P 556 E 115th St Chicago IL 60628-5740 Ph: (773) 768-5000 |
| NPI Number | 1588906689 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588906689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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