Organization
MCDERMOTT CENTER
Active
Other names
Haymarket Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIGI FULLER CADC (DIRECTOR OF QA)
(312) 226-7984
Entity
Organization
Contact information
Practice address
124 N SANGAMON ST, CHICAGO, IL 60607-2202
(312) 226-7984
(312) 226-8048
Mailing address
932 W WASHINGTON BLVD, CHICAGO, IL 60607-2217
(312) 226-7984
(312) 226-8048
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/02/2022
Last updated
06/13/2023
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