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Organization
MERCY FAMILY HEALTH CENTER @ LOWER WEST CLINIC
Active
Organization
MERCY FAMILY HEALTH CENTER @ LOWER WEST CLINIC
Active
Parent organization
MERCY FAMILY HEALTH CENTER FQHC SITE
Other names
Mercy Diagnostic & Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY FAMILY HEALTH CENTER FQHC SITE
Authorized official
MR. THOMAS J GARVEY (VP/CHIEF FINANCIAL OFFICER)
(312) 567-2000
Entity
Organization
Contact information
Practice address
1713 S. ASHLAND AVENUE, CHICAGO, IL 60608
(312) 746-5158
Mailing address
2525 S. MICHIGAN AVENUE, CHICAGO, IL 60616-2477
(312) 567-7616
(312) 328-7702
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2065063
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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