Organization
WHITESIDE COUNTY COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L LEE PHA/CEO (PUBLIC HEALTH ADMINISTRATOR/ CEO)
(815) 626-2230
Entity
Organization
Contact information
Practice address
1013 FRANKLIN GROVE RD, DIXON, IL 61021-3919
(815) 626-2230
(815) 626-3729
Mailing address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-3729
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/06/2022
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