# COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community First Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306244249
- **Authorized official:** MR. EDWARD JOSEPH GREEN J.D. (OWNER/LEGAL COUNSEL)
- **Authorized official phone:** (312) 832-4375

## Contact information

- **Practice address:** 5645 W ADDISON ST, CHICAGO, IL 60634-4403
- **Practice address phone:** (773) 282-7000
- **Practice address fax:** (773) 527-5900
- **Mailing address:** 5645 W ADDISON ST, CHICAGO, IL 60634-4403
- **Mailing address phone:** (773) 282-7000
- **Mailing address fax:** (773) 527-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0001719 | IL | Yes |

## Other

- **Enumeration date:** 12/09/2014
- **Last updated:** 12/09/2014