| Friend Family Health Center Inc | |
|
4802 S Ashland Ave Chicago IL 60609-4233 | |
| (773) 376-9400 | |
| Not Available |
| Full Name | Friend Family Health Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4802 S Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Angel Mcreynolds (BILLING/PROVIDER SERVICES MGR) |
| Authorized Official Contact | 7737052260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Friend Family Health Center Inc 2436 W 47th St Chicago IL 60632-1336 Ph: () - | Friend Family Health Center Inc 4802 S Ashland Ave Chicago IL 60609-4233 Ph: (773) 376-9400 |
| NPI Number | 1891921623 |
|---|---|
| Provider Enumeration Date | 06/08/2009 |
| Last Update Date | 08/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891921623 | NPI | - | NPPES |
| 141163 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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