Organization
COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC
Active
Other names
COMMUNITY FIRST MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SYKES (INTERIM CFO)
(773) 794-8320
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
(773) 794-7695
Mailing address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
(773) 794-7695
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1719
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0316
BLUE CROSS
—
01
—
2017020
PK
—
05
—
362644178001
—
IL
Enumeration date
09/13/2006
Last updated
02/18/2015
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