Organization
ACCESS COMMUNITY HEALTH NETWORK
Active
Other names
Access Brickyard Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA THOMAS (CEO)
(312) 526-2051
Entity
Organization
Contact information
Practice address
6020 W DIVERSEY AVE BLDG WEST, CHICAGO, IL 60639-1108
(000) 000-0000
Mailing address
600 W FULTON ST STE 200, CHICAGO, IL 60661-1262
(312) 526-2051
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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