Organization
NEAR NORTH HEALTH SERVICE CORPORATION
Active
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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