Organization
HUMBOLDT PARK HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY CHERYL ERINS (CREDENTIALING SPECIALIST)
(269) 244-5256
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
(773) 278-3899
Mailing address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
(773) 278-3899
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
01/27/2021
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