| Englewood Health Center | |
|
1135 W 69th St Chicago IL 60621-1147 | |
| (773) 483-5011 | |
| Not Available |
| Full Name | Englewood Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1135 W 69th St, Chicago, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Englewood Health Center 1900 W Polk St Rm 220c Chicago IL 60612-3723 Ph: (312) 864-4649 | Englewood Health Center 1135 W 69th St Chicago IL 60621-1147 Ph: (773) 483-5011 |
| NPI Number | 1295855096 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295855096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0005272 (Illinois) | Primary |
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