| Mercy Family Health Center Fqhc | |
|
3755 S Cottage Grove Chicago IL 60653 | |
| (312) 567-2000 | |
| Not Available |
| Full Name | Mercy Family Health Center Fqhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3755 S Cottage Grove, Chicago, Illinois |
| Authorized Official Name and Position | Iris Chan (CFO) |
| Authorized Official Contact | 3125676676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Family Health Center Fqhc 3755 S Cottage Grove Chicago IL 60653 Ph: (312) 567-2000 | Mercy Family Health Center Fqhc 3755 S Cottage Grove Chicago IL 60653 Ph: (312) 567-2000 |
| NPI Number | 1245677848 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245677848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1884582 (Illinois) | Primary |
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