Organization
NEAR NORTH HEALTH SERVICE CORPORATION
Active
Organization
NEAR NORTH HEALTH SERVICE CORPORATION
Active
Other names
Winfield Moody Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNEICE MILLS-THOMAS (EXECUTIVE DIRECTOR)
(312) 337-1073
Entity
Organization
Contact information
Practice address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
(312) 337-7616
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
(312) 337-7616
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/07/2005
Last updated
07/26/2021
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