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Organization

NEAR NORTH HEALTH SERVICE CORPORATION

Active
Other names
North and Kostner Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
CUSH MVUDUDU (CONTROLLER)
(312) 337-1073
Entity
Organization

Contact information

Practice address
1520 N KOSTNER AVE, CHICAGO, IL 60651-1610
(312) 337-1073
(312) 337-7616
Mailing address
1520 N KOSTNER AVE, CHICAGO, IL 60651-1610
(312) 337-1073
(312) 337-7616

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2307802
IL

Other

Enumeration date
03/05/2014
Last updated
01/27/2023
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