Organization
FRIEND FAMILY HEALTH CENTER, INC
Active
Organization
FRIEND FAMILY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA MODRE (CFO)
(773) 702-2193
Entity
Organization
Contact information
Practice address
5843 S. WESTERN AVENUE, CHICAGO, IL 60636
(773) 702-2193
(773) 702-4356
Mailing address
5843 S. WESTERN AVENUE, CHICAGO, IL 60636
(773) 702-2193
(773) 702-4356
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/13/2006
Last updated
10/01/2009
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