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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. ROBERT MAZIARKA (CHIEF FINANCIAL OFFICER)
(773) 768-5000
Entity
Organization
Contact information
Practice address
3963 W BELMONT AVE, 242, CHICAGO, IL 60618-5149
(773) 592-0696
Mailing address
3963 W BELMONT AVE, 242, CHICAGO, IL 60618-5149
(773) 592-0696
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
149015413
IL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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