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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