Organization
ERIE FAMILY HEALTH CENTER INC
Active
Organization
ERIE FAMILY HEALTH CENTER INC
Active
Other names
Erie Evanston Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE FRANCIS (PRESIDENT AND CEO)
(312) 432-7394
Entity
Organization
Contact information
Practice address
1285 HARTREY, EVANSTON, IL 60202-1056
(312) 666-3494
(312) 666-0610
Mailing address
1701 W SUPERIOR, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-0610
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616827
B/C B/S
IL
01
—
748480
MEDICARE PART B
IL
Enumeration date
09/14/2012
Last updated
11/25/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up