| Community Health Partnership Of Illinois | |
|
202 N Schuyler Ave Suite 206 Kankakee IL 60901-3833 | |
| (815) 932-6045 | |
| (815) 932-6055 |
| Full Name | Community Health Partnership Of Illinois |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 N Schuyler Ave, Kankakee, Illinois |
| Authorized Official Name and Position | Susan Bauer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3127950000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Partnership Of Illinois 205 W Randolph St Suite 2222 Chicago IL 60606-1867 Ph: (312) 795-0000 | Community Health Partnership Of Illinois 202 N Schuyler Ave Suite 206 Kankakee IL 60901-3833 Ph: (815) 932-6045 |
| NPI Number | 1982870259 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 10/30/2015 |
| Medicare PECOS PAC ID | 6901053511 |
|---|---|
| Medicare Enrollment ID | O20121220000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982870259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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