Organization
GRAND PRAIRIE SERVICES
Active
Parent organization
GRAND PRAIRIE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAND PRAIRIE SERVICES
Authorized official
SHARRONNE WARD (PRESIDENT AND CEO)
(708) 444-1012
Entity
Organization
Contact information
Practice address
450 W 14TH ST, CHICAGO HEIGHTS, IL 60411-2463
(708) 985-3040
(708) 474-8144
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
(708) 614-7831
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
11/20/2023
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