| Cottage View Health Center | |
|
4829 S Cottage Grove Ave Chicago IL 60615-1600 | |
| (773) 548-1170 | |
| (773) 548-1404 |
| Full Name | Cottage View Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4829 S Cottage Grove Ave, Chicago, Illinois |
| Authorized Official Name and Position | Berneice Mills-thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3123371073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottage View Health Center 1276 N Clybourn Ave Chicago IL 60610-2089 Ph: (312) 337-1073 | Cottage View Health Center 4829 S Cottage Grove Ave Chicago IL 60615-1600 Ph: (773) 548-1170 |
| NPI Number | 1073594297 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073594297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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