Organization
FRIEND FAMILY HEALTH CENTER INC
Active
Parent organization
FRIEND FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRIEND FAMILY HEALTH CENTER
Authorized official
SABRINA MOORE (CFO)
(773) 702-5821
Entity
Organization
Contact information
Practice address
5635 S PULASKI RD, CHICAGO, IL 60629-4438
(773) 702-0660
(773) 702-4356
Mailing address
800 E 55TH ST, CHICAGO, IL 60615-4906
(773) 702-0660
(773) 702-4356
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
09/14/2012
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