ERIE FAMILY HEALTH CENTER INC NPI 1134316631

NPI Information

ERIE FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Chicago, IL. ERIE FAMILY HEALTH CENTER, INC NPI is 1134316631. The provider is registered as an organization entity type.
The provider Is Doing Business As Erie Teen Health Center.

The provider's business location address is:

1945 W WILSON AVE FL 5
CHICAGO, IL
ZIP 60640-255
Phone: (312) 666-3494

The provider's authorized official is Gabriela Norena .
The authorized official title is Billing Department Supervisor and has the following contact phone number (312) 432-7444.

The CLIA number assigned to this NPI record is 14D0425471 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/28/2007 and was last updated on 6/2/2008.

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

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