Organization
WHITESIDE COUNTY COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L LEE (PHA/CEO)
(815) 626-2230
Entity
Organization
Contact information
Practice address
306 S HENNEPIN AVE, DIXON, IL 61021-3020
(815) 626-2230
Mailing address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
02/15/2022
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