| Christian Community Health Center | |
|
901 E Sibley Blvd South Holland IL 60473-1166 | |
| (708) 596-4111 | |
| (773) 233-4055 |
| Full Name | Christian Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 E Sibley Blvd, South Holland, Illinois |
| Authorized Official Name and Position | Kenneth A. Burnett (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7732334100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Community Health Center Po Box 288080 Chicago IL 60628-8080 Ph: (773) 233-4100 | Christian Community Health Center 901 E Sibley Blvd South Holland IL 60473-1166 Ph: (708) 596-4111 |
| NPI Number | 1912170457 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4284533183 |
|---|---|
| Medicare Enrollment ID | O20070614000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912170457 | NPI | - | NPPES |
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