Organization
CHRISTIAN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL TOLBERT (EXECUTIVE DIRECTOR)
(773) 233-4100
Entity
Organization
Contact information
Practice address
16405 FRONTAGE RD, OAK FOREST, IL 60452-4611
(773) 233-4100
Mailing address
PO BOX 288080, CHICAGO, IL 60628-8080
(773) 233-4100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
02/09/2022
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