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CIRCLE FAMILY CARE NPI 1386707743


NPI Information

NPI: 1386707743
Provider Name: CIRCLE FAMILY CARE

Other Name: COMMUNITY HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5120 W JACKSON
CHICAGO, IL
ZIP 60644
Phone: (773) 378-3900
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CIRCLE FAMILY CARE is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CIRCLE FAMILY CARE NPI is 1386707743. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Community Health Center.

The provider's business location address is:

5120 W JACKSON
CHICAGO, IL
ZIP 60644-332
Phone: (773) 378-3900
Fax: (773) 378-2602

The provider's authorized official is Reuben J Pettiford .
The authorized official title is Chief Executive Officer and has the following contact phone number (773) 379-1000.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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