Organization
INFANT WELFARE SOCIETY OF CHICAGO
Active
Other names
IWS Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY HERRERA (CREDENTIALING SPECIALIST)
(773) 782-5024
Entity
Organization
Contact information
Practice address
3600 W FULLERTON AVE, CHICAGO, IL 60647
(773) 782-2800
(773) 782-5042
Mailing address
3600 W FULLERTON AVE, CHICAGO, IL 60647
(773) 782-2800
(773) 782-5042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/23/2007
Last updated
05/08/2024
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