Friend Family Health Center Inc | |
5525 S Pulaski Rd Chicago IL 60629-4400 | |
(773) 702-0660 | |
Not Available |
Full Name | Friend Family Health Center Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5525 S Pulaski Rd, Chicago, Illinois |
Authorized Official Name and Position | Verneda Bachus (CFO) |
Authorized Official Contact | 7737022193 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Friend Family Health Center Inc 800 E 55th St Chicago IL 60615-4906 Ph: (773) 702-2193 | Friend Family Health Center Inc 5525 S Pulaski Rd Chicago IL 60629-4400 Ph: (773) 702-0660 |
NPI Number | 1578213948 |
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Provider Enumeration Date | 03/28/2022 |
Last Update Date | 03/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578213948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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