# LAWNDALE CHRISTIAN HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAWNDALE CHRISTIAN HEALTH CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679680235
- **Authorized official:** KAREN JOHNSON (ASST DIR OF PATIENT ACCOUNTING)
- **Authorized official phone:** (872) 588-3062

## Contact information

- **Practice address:** 3910 W OGDEN AVE, CHICAGO, IL 60623-2470
- **Practice address phone:** (872) 588-3256
- **Practice address fax:** (872) 588-3251
- **Mailing address:** 3860 W OGDEN AVE, CHICAGO, IL 60623-2460
- **Mailing address phone:** (872) 588-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054013315 | IL | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 07/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2023743 | PK | — |