Organization
LAWNDALE CHRISTIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RENEE JOHNSON (ASST. DIR. OF PATIENT ACCOUNTING)
(872) 588-3062
Entity
Organization
Contact information
Practice address
3745 W OGDEN AVE, CHICAGO, IL 60623-2427
(872) 588-3000
(872) 588-3001
Mailing address
LAWNDALE CHRISTIAN HEALTH CENTER 4696 PAYSPHERE CIRCLE, CHICAGO, IL 60674-0001
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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