Organization
BELOVED COMMUNITY FAMILY WELLNESS CENTER
Active
Organization
BELOVED COMMUNITY FAMILY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGIE NEDA JOHNSON MS (EXECUTIVE DIRECTOR)
(773) 651-3828
Entity
Organization
Contact information
Practice address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
(773) 651-1599
Mailing address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
(773) 322-1955
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
036113305
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
08/24/2017
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