Organization
CHRISTIAN COMMUNITY HEALTH CENTER
Active
Other names
ROSELAND CHRISTIAN HEALTH MINISTRIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH A. BURNETT M.S. (CHIEF EXECUTIVE OFFICER)
(773) 233-4100
Entity
Organization
Contact information
Practice address
901 E SIBLEY BLVD, SOUTH HOLLAND, IL 60473-1166
(708) 596-4111
(773) 233-4055
Mailing address
PO BOX 288080, CHICAGO, IL 60628-8080
(773) 233-4100
(773) 233-4055
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
09/19/2023
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