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Organization

ERIE FAMILY HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE FRANCIS (CHIEF EXECUTIVE OFFICER)
(312) 666-3494
Entity
Organization

Contact information

Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
180-003431
IL

Other

Enumeration date
09/29/2009
Last updated
09/29/2009
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