Organization
GREATER ELGIN FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TANNER (CEO)
(847) 608-1344
Entity
Organization
Contact information
Practice address
37 S GENEVA ST, ELGIN, IL 60120-6581
(847) 608-1344
Mailing address
370 SUMMIT ST, ELGIN, IL 60120-3843
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364249586006
—
IL
Enumeration date
03/29/2007
Last updated
08/22/2020
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