Organization
WILL COUNTY COMMUNITY HEALTH CENTER
Active
Organization
WILL COUNTY COMMUNITY HEALTH CENTER
Active
Parent organization
WILL COUNTY COMMUNITY HEALTH CENTER
Other names
Will County Community Health Center East
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILL COUNTY COMMUNITY HEALTH CENTER
Authorized official
SUSAN OLENEK (EXECUTIVE DIRECTOR)
(815) 740-8982
Entity
Organization
Contact information
Practice address
5601 W MONEE MANHATTAN RD STE 109, MONEE, IL 60449-8864
(815) 727-8670
(815) 846-8932
Mailing address
5601 W MONEE MANHATTAN RD STE 109, MONEE, IL 60449-8864
(815) 727-8670
(815) 846-8932
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H80CS00476
HRSA GRANT NUMBER
—
Enumeration date
03/18/2019
Last updated
03/18/2019
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