Organization
CHICAGO FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MAZIARKA (CHIEF FINANCIAL OFFICER)
(773) 768-5000
Entity
Organization
Contact information
Practice address
3963 W BELMONT AVE, 242, CHICAGO, IL 60618-5149
(773) 592-0696
Mailing address
3963 W BELMONT AVE, 242, CHICAGO, IL 60618-5149
(773) 592-0696
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
149015413
IL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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