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Organization
CHICAGO FAMILY HEALTH CENTER, INC.
Active
Organization
CHICAGO FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON TAYLOR CPCS (CREDENTIALING MANAGER)
(773) 768-5000
Entity
Organization
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 768-6153
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 768-6153
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
10/24/2018
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