| Esperanza Health Centers | |
|
4720 S California Ave Chicago IL 60632 | |
| (773) 584-6140 | |
| (844) 285-1003 |
| Full Name | Esperanza Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 4720 S California Ave, Chicago, Illinois |
| Authorized Official Name and Position | Zachary Spreitzer Spreitzer (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7738234224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esperanza Health Centers 1940 S Western Ave Chicago IL 60608-2503 Ph: () - | Esperanza Health Centers 4720 S California Ave Chicago IL 60632 Ph: (773) 584-6140 |
| NPI Number | 1578348736 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 2961453105 |
|---|---|
| Medicare Enrollment ID | O20240219000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578348736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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