Organization
CHRISTIAN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL TOLBERT (EXECUTIVE DIRECTOR)
(773) 233-4100
Entity
Organization
Contact information
Practice address
1701 W MONTEREY AVE, CHICAGO, IL 60643-4257
(773) 233-5850
(773) 233-4055
Mailing address
PO BOX 288080, CHICAGO, IL 60628-8080
(773) 233-4100
(773) 233-4055
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
02/09/2022
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