| Circle Family Care | |
|
4909 W Division St Suite 307 Chicago IL 60651-3161 | |
| (773) 379-1000 | |
| (773) 379-1342 |
| Full Name | Circle Family Care |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4909 W Division St, Chicago, Illinois |
| Authorized Official Name and Position | Reuben Pettiford (PRESIDENT AND CEO) |
| Authorized Official Contact | 7733791000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Family Care 5002 W Madison St Chicago IL 60644-4127 Ph: (773) 379-1000 | Circle Family Care 4909 W Division St Suite 307 Chicago IL 60651-3161 Ph: (773) 379-1000 |
| NPI Number | 1124298492 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124298492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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