| Lawndale Christian Health Center | |
|
3256 W 24th St Chicago IL 60623-3407 | |
| (773) 843-3000 | |
| Not Available |
| Full Name | Lawndale Christian Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3256 W 24th St, Chicago, Illinois |
| Authorized Official Name and Position | Karen Renee Johnson (ASST DIR OF PATIENT ACCOUNTING) |
| Authorized Official Contact | 8725883062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawndale Christian Health Center 3860 W Ogden Ave Chicago IL 60623-2460 Ph: (872) 588-3000 | Lawndale Christian Health Center 3256 W 24th St Chicago IL 60623-3407 Ph: (773) 843-3000 |
| NPI Number | 1154598282 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 07/01/2021 |
| Medicare PECOS PAC ID | 2264336346 |
|---|---|
| Medicare Enrollment ID | O20031218000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154598282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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