FRIEND FAMILY HEALTH CENTER- BEETHOVEN NPI 1578755179

NPI Information

FRIEND FAMILY HEALTH CENTER- BEETHOVEN is a federally qualified health center (fqhc) clinic center in Chicago, IL. FRIEND FAMILY HEALTH CENTER- BEETHOVEN NPI is 1578755179. The provider is registered as an organization entity type.

The provider's business location address is:

25 W 47TH ST
CHICAGO, IL
ZIP 60609-627
Phone: (773) 702-0660
Fax: (773) 702-4356

The provider's authorized official is Sabrina Moore .
The authorized official title is Cfo and has the following contact phone number (773) 702-5821.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 4/20/2008.

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

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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