Organization
GREATER ELGIN FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TANNER (PRESIDENT/CEO)
(847) 608-1344
Entity
Organization
Contact information
Practice address
323 WAVERLY DR, ELGIN, IL 60120-4626
(847) 608-1344
Mailing address
370 SUMMIT ST, ELGIN, IL 60120-3843
(847) 608-1344
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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