| Will County Community Health Center North | |
|
323 Quadrangle Dr Bolingbrook IL 60440-3409 | |
| (630) 679-7000 | |
| Not Available |
| Full Name | Will County Community Health Center North |
|---|---|
| Speciality | Clinic/Center |
| Location | 323 Quadrangle Dr, Bolingbrook, Illinois |
| Authorized Official Name and Position | Susan Olenek (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8157408982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Will County Community Health Center North 323 Quadrangle Dr Bolingbrook IL 60440-3409 Ph: () - | Will County Community Health Center North 323 Quadrangle Dr Bolingbrook IL 60440-3409 Ph: (630) 679-7000 |
| NPI Number | 1346772373 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/30/2017 |
| Medicare PECOS PAC ID | 5395633317 |
|---|---|
| Medicare Enrollment ID | O20170411001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346772373 | NPI | - | NPPES |
| H80CS00476 | Other | HRSA GRANT NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Presence Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440 Phone: 630-914-2468 | |
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