Organization
INFANT WELFARE SOCIETY OF CHICAGO
Active
Other names
IWS Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GALARZA (CHIEF HEALTHCARE ANALYTIC OFFICER)
(773) 782-5035
Entity
Organization
Contact information
Practice address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-2800
(773) 782-5042
Mailing address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-2800
(773) 782-5042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101YM0800X
Mental Health Counselor
—
IL
1041C0700X
Clinical Social Worker
—
IL
122300000X
Dentist
—
IL
152W00000X
Optometrist
—
IL
225X00000X
Occupational Therapist
—
IL
235Z00000X
Speech-Language Pathologist
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
12/13/2013
Last updated
07/06/2023
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