Organization
URBAN FAMILY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ENEFIOK EKONG D.O. (PRESIDENT/CEO)
(773) 264-1400
Entity
Organization
Contact information
Practice address
10830 S HALSTED ST, CHICAGO, IL 60628-3126
(773) 264-1400
(773) 264-1401
Mailing address
10830 S HALSTED ST, CHICAGO, IL 60628-3126
(773) 264-1400
(773) 264-1401
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036062189
IL
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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