CHICAGO FAMILY HEALTH CENTER INC. NPI 1063614923

NPI Information

CHICAGO FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Chicago, IL. CHICAGO FAMILY HEALTH CENTER, INC. NPI is 1063614923. The provider is registered as an organization entity type.
The provider Is Doing Business As Chicago Family Health Center.

The provider's business location address is:

570 E 115TH ST
CHICAGO, IL
ZIP 60628-740
Phone: (773) 768-5000
Fax: (773) 840-3409

The provider's authorized official is Joseph Eric Boklage .
The authorized official title is Chief Administrative Officer and has the following contact phone number (773) 768-5000.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 9/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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