Organization
TCA HEALTH INC NFP
Active
Other names
TCA HEALTH CHATHAM
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA CLARKE (CEO)
(773) 995-6300
Entity
Organization
Contact information
Practice address
8425 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 846-3000
Mailing address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 995-6300
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
10/16/2019
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