COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS NPI 1962525691

NPI Information

COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS is a federally qualified health center (fqhc) clinic center in Aurora, IL. COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS NPI is 1962525691. The provider is registered as an organization entity type.

The provider's business location address is:

157 S LINCOLN AVE
SUITE C
AURORA, IL
ZIP 60505-264
Phone: (630) 966-4572
Fax: (630) 859-8336

The provider's authorized official is Susan Bauer .
The authorized official title is Executive Director and has the following contact phone number (312) 795-0000.

The CLIA number assigned to this NPI record is 14D2254629 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 10/30/2015.

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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