| Family Christian Health Center-dolton | |
|
713 E 142nd St Dolton IL 60419-1062 | |
| (708) 596-5177 | |
| Not Available |
| Full Name | Family Christian Health Center-dolton |
|---|---|
| Speciality | Clinic/Center |
| Location | 713 E 142nd St, Dolton, Illinois |
| Authorized Official Name and Position | Lisa J Green (CEO) |
| Authorized Official Contact | 7083395521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Christian Health Center-dolton 31 W 155th St Harvey IL 60426-3556 Ph: (708) 596-5177 | Family Christian Health Center-dolton 713 E 142nd St Dolton IL 60419-1062 Ph: (708) 596-5177 |
| NPI Number | 1336433382 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 07/18/2024 |
| Medicare PECOS PAC ID | 6507758612 |
|---|---|
| Medicare Enrollment ID | O20111207000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336433382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Jaroslaus T Iwanetz Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 E 142nd St, Dolton, IL 60419 Phone: 708-841-1121 Fax: 708-841-6976 | |
Power Of Touch Massage Therpay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15223 Chicago Rd, Dolton, IL 60419 Phone: 708-205-1554 |