Organization
MERCY DIAGNOSTIC AND TREATMENT CENTER
Active
Other names
Mercy Family Health Center FQHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRIS CHAN (CFO)
(312) 567-6676
Entity
Organization
Contact information
Practice address
3755 S COTTAGE GROVE, CHICAGO, IL 60653
(312) 567-2000
Mailing address
3755 S COTTAGE GROVE, CHICAGO, IL 60653
(312) 567-2000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1884582
IL
Other
Enumeration date
05/23/2013
Last updated
05/24/2013
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