Lawndale Christian Health Center | |
5122 S Archer Ave Chicago IL 60632-4508 | |
(872) 522-3560 | |
Not Available |
Full Name | Lawndale Christian Health Center |
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Speciality | Clinic/center - Primary Care |
Location | 5122 S Archer Ave, Chicago, Illinois |
Authorized Official Name and Position | Kiwani Cooper (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8725883027 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lawndale Christian Health Center 3860 W Ogden Ave Chicago IL 60623-2460 Ph: () - | Lawndale Christian Health Center 5122 S Archer Ave Chicago IL 60632-4508 Ph: (872) 522-3560 |
NPI Number | 1366872061 |
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Provider Enumeration Date | 11/15/2013 |
Last Update Date | 11/15/2013 |
Identifier | Type | State | Issuer |
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1366872061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 209010903 (Illinois) | Primary |
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