Organization
CHRISTIAN COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE OGBUAGU (MANAGER, REVENUE CYCLE)
(773) 298-2056
Entity
Organization
Contact information
Practice address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 233-4100
Mailing address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 233-4100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
209012746
IL
Other
Enumeration date
08/17/2015
Last updated
02/09/2022
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