| Communityhealth | |
|
2611 W Chicago Ave Chicago IL 60622-4519 | |
| (773) 395-9901 | |
| (773) 395-9902 |
| Full Name | Communityhealth |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2611 W Chicago Ave, Chicago, Illinois |
| Authorized Official Name and Position | Tony Bongiorno (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Contact | 7733959901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Communityhealth 2611 W Chicago Ave Chicago IL 60622-4519 Ph: (773) 395-9901 | Communityhealth 2611 W Chicago Ave Chicago IL 60622-4519 Ph: (773) 395-9901 |
| NPI Number | 1295947430 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295947430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Illinois) | Primary |
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