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Organization
HUMBOLDT PARK HEALTH
Active
Organization
HUMBOLDT PARK HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY CHERYL ERINS (CREDENTIALING SPECIALIST)
(269) 244-5256
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622
(773) 292-8200
(773) 278-3899
Mailing address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
(773) 278-3899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
213E00000X
Podiatrist
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
06/12/2009
Last updated
06/10/2021
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