INFANT WELFARE SOCIETY OF CHICAGO NPI 1497872543

NPI Information

INFANT WELFARE SOCIETY OF CHICAGO is a federally qualified health center (fqhc) clinic center in Chicago, IL. INFANT WELFARE SOCIETY OF CHICAGO NPI is 1497872543. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Angel Harvey Family Health Center.

The provider's business location address is:

3600 W FULLERTON AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 782-2800
Fax: (773) 782-5042

The provider's authorized official is Jose Galarza .
The authorized official title is Chief Healthcare Analytics Informat and has the following contact phone number (773) 782-5035.

The CLIA number assigned to this NPI record is 14D0677923 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/23/2007 and was last updated on 12/21/2020.

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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