Organization
COOK COUNTY
Active
Other names
CHARLES HAYES CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ANKEBRANT (COO)
(312) 864-0719
Entity
Organization
Contact information
Practice address
4859 S WABASH AVE, CHICAGO, IL 60615-1008
(773) 268-4305
Mailing address
1110 S OAKLEY BLVD, ROOM 200, CHICAGO, IL 60612-4218
(312) 864-4665
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
0004549
IL
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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