Organization
CHICAGO FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORAINE MORENO R.N. (SENIOR DIRECTOR)
(773) 768-5000
Entity
Organization
Contact information
Practice address
9119 S. EXCHANGE, CHICAGO, IL 60617-4321
(773) 768-5000
(773) 768-6153
Mailing address
2454 W SUPERIOR ST, CHICAGO, IL 60612-1214
(773) 768-5000
(773) 768-6153
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
207Q00000
IL
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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