Chicago Family Health Center, Inc. in Chicago - Federally Qualified Health Center (fqhc)

Chicago Family Health Center, Inc. - NPI 1245266337

Chicago Family Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Chicago, Illinois. Chicago Family Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Chicago Family Health Center, Inc. is 1245266337. The last update date is 2016-09-21.

Chicago Family Health Center, Inc.'s current location address is 9119 S Exchange Ave, Chicago, Illinois. You can contact this provider via phone number 7737685000 and fax number 7737686153. The mailing address for Chicago Family Health Center, Inc. is 9119 S Exchange Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chicago Family Health Center, Inc.
Address 9119 S Exchange Ave, Chicago, Illinois
Phone Number 7737685000
Fax Number 7737686153
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ADMI
Authorized Official Name Boklage Eric Joseph
Telephone Number 7737685000

NPI Number Detail

NPI Number 1245266337
Provider Enumeration Date 2006-06-23
Last Updated Date 2016-09-21

Provider Mailing Address Detail

Address 9119 S Exchange Ave
City Chicago
State Illinois (IL)
Post Code 606174225
Phone Number 7737685000
Fax Number 7737686153

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14D0696914 IL CLIA LICENSE
1168069 IL CITY LICENSE

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FAQs about Chicago Family Health Center, Inc.

What is the unique 10-digit identifier code assigned to Chicago Family Health Center, Inc. by the Centers for Medicare & Medicaid Services?

The Chicago Family Health Center, Inc. has been issued the NPI (National Provider Identifier) 1245266337 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Chicago Family Health Center, Inc. located?

The Chicago Family Health Center, Inc. is located at 9119 S Exchange Ave, Chicago, IL 606174225.

What is the Chicago Family Health Center, Inc.'s specialty and taxonomy code?

The Chicago Family Health Center, Inc.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.

When did the Chicago Family Health Center, Inc. receive its 1245266337?

The Chicago Family Health Center, Inc. was issued its 1245266337 on 2006-06-23, which is the date when the organization was assigned this unique identifier.

As of what date were the Chicago Family Health Center, Inc.'s details last updated?

The information pertaining to the Chicago Family Health Center, Inc., including its address, specialty, and other details, was most recently updated on 2016-09-21.

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