| Circle Family Healthcare Network, Inc | |
|
115 Parkside Chicago IL 60644-3040 | |
| (773) 921-9669 | |
| (773) 921-2609 |
| Full Name | Circle Family Healthcare Network, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 115 Parkside, Chicago, Illinois |
| Authorized Official Name and Position | Andre' Hines (CEO) |
| Authorized Official Contact | 7733791000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Family Healthcare Network, Inc 5002 W Madison St Chicago IL 60644-4127 Ph: (773) 379-1000 | Circle Family Healthcare Network, Inc 115 Parkside Chicago IL 60644-3040 Ph: (773) 921-9669 |
| NPI Number | 1649399106 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649399106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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