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Organization

FRIEND FAMILY HEALTH CENTER- BEETHOVEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SABRINA MOORE (CFO)
(773) 702-5821
Entity
Organization

Contact information

Practice address
25 W 47TH ST, CHICAGO, IL 60609-4627
(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
08/16/2007
Last updated
04/20/2008
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