Organization
CHICAGO FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON TAYLOR CPCS (CREDENTIALING MANAGER)
(773) 768-5000
Entity
Organization
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 768-6153
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 768-6153
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
10/24/2018
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