Organization
CHICAGO FAMILY HEALTH CENTER, INC.
Active
Other names
Chicago Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ERIC BOKLAGE (CHIEF ADMINISTRATIVE OFFICER)
(773) 768-5000
Entity
Organization
Contact information
Practice address
3223 W. 63RD ST., CHICAGO, IL 60629
(773) 768-5000
(773) 778-9593
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 768-6153
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
09/21/2016
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