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Organization
CIRCLE FAMILY CARE
Active
Organization
CIRCLE FAMILY CARE
Active
Other names
Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUBEN J PETTIFORD (CHIEF EXECUTIVE OFFICER)
(773) 379-1000
Entity
Organization
Contact information
Practice address
5120 W JACKSON, CHICAGO, IL 60644-4332
(773) 378-3900
(773) 378-2602
Mailing address
5002 W MADISON, CHICAGO, IL 60644-4127
(773) 379-1000
(773) 379-1342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
12/18/2006
Last updated
07/21/2022
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