Organization
CHICAGO FAMILY HEALTH CENTER - L
Active
Organization
CHICAGO FAMILY HEALTH CENTER - L
Active
Parent organization
CHICAGO FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICAGO FAMILY HEALTH CENTER
Authorized official
WARREN BRODINE (CEO)
(773) 768-5000
Entity
Organization
Contact information
Practice address
3223 W 63RD ST, CHICAGO, IL 60629-3333
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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