LAWNDALE CHRISTIAN HEALTH CENTER NPI 1154598282

NPI Information

LAWNDALE CHRISTIAN HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. LAWNDALE CHRISTIAN HEALTH CENTER NPI is 1154598282. The provider is registered as an organization entity type.

The provider's business location address is:

3256 W 24TH ST
CHICAGO, IL
ZIP 60623-407
Phone: (773) 843-3000

The provider's authorized official is Karen Renee Johnson .
The authorized official title is Asst Dir Of Patient Accounting and has the following contact phone number (872) 588-3062.

The CLIA number assigned to this NPI record is 14D0425569 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/8/2008 and was last updated on 7/1/2021.

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:

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