Organization
PRIMECARE COMMUNITY HEALTH INC
Active
Other names
Elston
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C HOLTROP (CFO)
(616) 482-9892
Entity
Organization
Contact information
Practice address
1308 N ELSTON AVE, CHICAGO, IL 60642-2416
(312) 633-5841
Mailing address
1431 N WESTERN AVE STE 406, CHICAGO, IL 60622-1774
(312) 633-5841
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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