Organization
HENRY BOOTH HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT PERKINS (PRESIDENT/CEO)
(312) 949-3609
Entity
Organization
Contact information
Practice address
2850 S MICHIGAN AVE, CHICAGO, IL 60616-5018
(312) 949-2174
(312) 225-6324
Mailing address
2850 S MICHIGAN AVE, CHICAGO, IL 60616-5018
(312) 949-2174
(312) 225-6324
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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