Organization
CHICAGO FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON TAYLOR (CREDENTIALING AND MANAGED CARE SPEC)
(773) 768-5000
Entity
Organization
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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