Organization
COMMUNITYHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY BONGIORNO PHARMD (DIRECTOR OF PHARMACY OPERATIONS)
(773) 395-9901
Entity
Organization
Contact information
Practice address
2611 W CHICAGO AVE, CHICAGO, IL 60622-4519
(773) 395-9901
(773) 395-9902
Mailing address
2611 W CHICAGO AVE, CHICAGO, IL 60622-4519
(773) 395-9901
(773) 395-9902
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
IL
Other
Enumeration date
05/03/2007
Last updated
07/21/2022
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