Organization
NEAR NORTH HEALTH SERVICE CORPORATION
Active
Organization
NEAR NORTH HEALTH SERVICE CORPORATION
Active
Other names
Denny Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTE SMITH (CHIEF EXECUTIVE OFFICER)
(312) 337-1073
Entity
Organization
Contact information
Practice address
150 E HURON ST STE 1101, CHICAGO, IL 60611-2948
(312) 741-8554
(312) 926-3028
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1076
(312) 337-5264
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
10/15/2024
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