Greater Elgin Family Care Center | |
2100 Elm Ave Hanover Park IL 60133-3808 | |
(847) 608-1344 | |
Not Available |
Full Name | Greater Elgin Family Care Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2100 Elm Ave, Hanover Park, Illinois |
Authorized Official Name and Position | Robert Tanner (PRESIDENT/CEO) |
Authorized Official Contact | 8476081344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greater Elgin Family Care Center 370 Summit St Elgin IL 60120-3843 Ph: (847) 608-1344 | Greater Elgin Family Care Center 2100 Elm Ave Hanover Park IL 60133-3808 Ph: (847) 608-1344 |
NPI Number | 1295060531 |
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Provider Enumeration Date | 10/05/2009 |
Last Update Date | 10/05/2009 |
Identifier | Type | State | Issuer |
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1295060531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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