# HUMBOLDT PARK HEALTH WELLNESS CENTER REHAB CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HUMBOLDT PARK HEALTH
- **Other names:** Humboldt Park Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134952443
- **Legal business name:** HUMBOLDT PARK HEALTH
- **Authorized official:** DOROTHY CHERYL ERINS (CREDENTIALING MANAGER)
- **Authorized official phone:** (773) 292-8200

## Contact information

- **Practice address:** 2933 W. DIVISION, CHICAGO, IL 60622
- **Practice address phone:** (773) 292-8200
- **Mailing address:** 1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
- **Mailing address phone:** (773) 292-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/22/2024