Organization
HOWARD BROWN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BURGUNDY JOHNSON (CREDENTIALING)
(872) 629-3491
Entity
Organization
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613
(773) 388-1600
(773) 388-8936
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-1602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
30411
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30411
STATE LICENSE NUMBER
IL
Enumeration date
05/31/2007
Last updated
04/10/2025
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