| Howard Brown Health Center | |
|
641 W 63rd St Chicago IL 60621-2032 | |
| (773) 388-1600 | |
| Not Available |
| Full Name | Howard Brown Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 641 W 63rd St, Chicago, Illinois |
| Authorized Official Name and Position | Burgundy Johnson (BILLING MANAGER) |
| Authorized Official Contact | 8726293491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Brown Health Center 641 W 63rd St Chicago IL 60621-2032 Ph: (773) 388-1600 | Howard Brown Health Center 641 W 63rd St Chicago IL 60621-2032 Ph: (773) 388-1600 |
| NPI Number | 1255791331 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 06/27/2022 |
| Medicare PECOS PAC ID | 1052203155 |
|---|---|
| Medicare Enrollment ID | O20160811000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255791331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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