Organization
COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC.
Active
Other names
Community First Emergency Medicine Group
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J GREEN (PRINCIPAL)
(773) 794-8320
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 794-8322
(773) 527-5900
Mailing address
PO BOX 83389, CHICAGO, IL 60691-0389
(773) 794-8322
(773) 527-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/22/2015
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