Organization
CENTRO DE SALUD Y ESPERANZA
Active
Organization
CENTRO DE SALUD Y ESPERANZA
Active
Parent organization
CENTRO DE SALUD Y ESPERANZA
Other names
Esperanza Little Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO DE SALUD Y ESPERANZA
Authorized official
DANIEL FULWILER (CEO)
(773) 584-6130
Entity
Organization
Contact information
Practice address
2001 S CALIFORNIA AVE, SUITE 100, CHICAGO, IL 60608-2486
(773) 584-6133
Mailing address
3059 W 26TH ST, CHICAGO, IL 60623-4131
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
03/06/2013
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