| Salud Family Health Center | |
|
5359 E Fullerton Ave Chicago IL 60639-1450 | |
| (773) 836-2785 | |
| (773) 836-7381 |
| Full Name | Salud Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5359 E Fullerton Ave, Chicago, Illinois |
| Authorized Official Name and Position | Robert J Urso (PRESIDENT & CEO) |
| Authorized Official Contact | 7083839786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Family Health Center 5359 W Fullerton Ave Chicago IL 60639-1450 Ph: (773) 836-2785 | Salud Family Health Center 5359 E Fullerton Ave Chicago IL 60639-1450 Ph: (773) 836-2785 |
| NPI Number | 1487670097 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1557270139 |
|---|---|
| Medicare Enrollment ID | O20060811000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487670097 | NPI | - | NPPES |
| 141032 | Other | MEDICARE PART A PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 003 (Illinois) | Primary |
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