| Sacred Circles Health Initiative | |
|
2020 W Harrison St Chicago IL 60612-3741 | |
| (312) 572-4539 | |
| Not Available |
| Full Name | Sacred Circles Health Initiative |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2020 W Harrison St, Chicago, Illinois |
| Authorized Official Name and Position | Glenn Harrison (OWNER) |
| Authorized Official Contact | 7737176759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Circles Health Initiative Po Box 12002 Chicago IL 60612-0002 Ph: (773) 717-6759 | Sacred Circles Health Initiative 2020 W Harrison St Chicago IL 60612-3741 Ph: (312) 572-4539 |
| NPI Number | 1720467798 |
|---|---|
| Provider Enumeration Date | 05/23/2015 |
| Last Update Date | 05/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720467798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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