| Greater Elgin Family Care Center | |
|
783 W Highland Ave Elgin IL 60123-5358 | |
| (847) 608-1344 | |
| Not Available |
| Full Name | Greater Elgin Family Care Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 783 W Highland Ave, Elgin, Illinois |
| Authorized Official Name and Position | Robert Tanner (CEO) |
| Authorized Official Contact | 8476081344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Elgin Family Care Center 370 Summit St Elgin IL 60120-3843 Ph: (847) 608-1344 | Greater Elgin Family Care Center 783 W Highland Ave Elgin IL 60123-5358 Ph: (847) 608-1344 |
| NPI Number | 1063531952 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063531952 | NPI | - | NPPES |
| 362249586003 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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