# MERCY FAMILY HEALTH CENTER @ LOWER WEST CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY FAMILY HEALTH CENTER FQHC SITE
- **Other names:** Mercy Diagnostic & Treatment Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700136124
- **Legal business name:** MERCY FAMILY HEALTH CENTER FQHC SITE
- **Authorized official:** MR. THOMAS J GARVEY (VP/CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (312) 567-2000

## Contact information

- **Practice address:** 1713 S. ASHLAND AVENUE, CHICAGO, IL 60608
- **Practice address phone:** (312) 746-5158
- **Mailing address:** 2525 S. MICHIGAN AVENUE, CHICAGO, IL 60616-2477
- **Mailing address phone:** (312) 567-7616
- **Mailing address fax:** (312) 328-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 2065063 | IL | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 09/13/2012