Organization
PRIMECARE COMMUNITY HEALTH INC.
Active
Other names
PrimeCare Belmont Cragin
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VANGILDER (CFO)
(312) 491-5034
Entity
Organization
Contact information
Practice address
5635 W BELMONT AVE, CHICAGO, IL 60634-4384
(773) 736-1830
(773) 736-1840
Mailing address
PO BOX 21844, BELFAST, ME 04915-4115
(312) 491-5034
(312) 491-5485
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/11/2019
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