Community Health Partnership Of Illinois | |
21 West Kenyon Road Urbana IL 61820-1163 | |
(217) 893-3052 | |
(217) 893-8600 |
Full Name | Community Health Partnership Of Illinois |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 21 West Kenyon Road, Urbana, Illinois |
Authorized Official Name and Position | Nicolas Garcia (DIRECTOR OF FINANCE) |
Authorized Official Contact | 3127950000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Health Partnership Of Illinois 205 W Randolph St Suite 2222 Chicago IL 60606-1867 Ph: (312) 795-0000 | Community Health Partnership Of Illinois 21 West Kenyon Road Urbana IL 61820-1163 Ph: (217) 893-3052 |
NPI Number | 1396154076 |
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Provider Enumeration Date | 08/07/2014 |
Last Update Date | 08/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396154076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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