| Friend Family Health Center, Inc | |
|
25 W 47th St Chicago IL 60609-4627 | |
| (773) 536-4879 | |
| (773) 536-5201 |
| Full Name | Friend Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 W 47th St, Chicago, Illinois |
| Authorized Official Name and Position | Sabrina Moore (CFO) |
| Authorized Official Contact | 7737025821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friend Family Health Center, Inc 800 E 55th St Chicago IL 60615-4906 Ph: (773) 702-0660 | Friend Family Health Center, Inc 25 W 47th St Chicago IL 60609-4627 Ph: (773) 536-4879 |
| NPI Number | 1861667404 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 11/28/2012 |
| Medicare PECOS PAC ID | 2062494552 |
|---|---|
| Medicare Enrollment ID | O20120717000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861667404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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