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. |
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Address | 9119 S Exchange Ave, Chicago, Illinois |
Phone Number | 7737685000 |
Fax Number | 7737686153 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF ADMI |
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Authorized Official Name | Boklage Eric Joseph |
Telephone Number | 7737685000 |
NPI Number Detail
NPI Number | 1245266337 |
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Provider Enumeration Date | 2006-06-23 |
Last Updated Date | 2016-09-21 |
Provider Mailing Address Detail
Address | 9119 S Exchange Ave |
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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) |
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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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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.