Organization
COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAUER MA, MPH (EXECUTIVE DIRECTOR)
(312) 795-0000
Entity
Organization
Contact information
Practice address
1009 MAIN ST, MENDOTA, IL 61342-1604
(815) 539-6124
(815) 539-9015
Mailing address
205 W RANDOLPH ST, SUITE 2222, CHICAGO, IL 60606-1867
(312) 795-0000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/06/2008
Last updated
10/30/2015
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