Organization
CHRISTIAN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BURNETT (CEO)
(773) 233-4100
Entity
Organization
Contact information
Practice address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 233-4100
Mailing address
PO BOX 288080, CHICAGO, IL 60628-8080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
05/21/2012
Last updated
02/09/2022
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