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CHICAGO FAMILY HEALTH CENTER INC. NPI 1629388756


NPI Information

NPI: 1629388756
Provider Name: CHICAGO FAMILY HEALTH CENTER, INC.

Doing Business As: CHICAGO FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3223 W. 63RD ST.
CHICAGO, IL
ZIP 60629
Phone: (773) 768-5000
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CHICAGO FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Chicago, IL. CHICAGO FAMILY HEALTH CENTER, INC. NPI is 1629388756. The provider is registered as an organization entity type.
The provider Is Doing Business As Chicago Family Health Center.

The provider's business location address is:

3223 W. 63RD ST.
CHICAGO, IL
ZIP 60629
Phone: (773) 768-5000
Fax: (773) 778-9593

The provider's authorized official is Joseph Eric Boklage .
The authorized official title is Chief Administrative Officer and has the following contact phone number (773) 768-5000.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 9/21/2016.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/14/2023

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