Organization
ERIE FAMILY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH C EASTRIDGE (DIRECTOR OF CREDENTIALING)
(312) 432-7329
Entity
Organization
Contact information
Practice address
4305 W MADISON ST, CHICAGO, IL 60624
(312) 666-3494
Mailing address
1701 W SUPERIOR ST FL 3, CHICAGO, IL 60622-5646
(312) 432-7329
(978) 967-8345
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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