Organization
NEAR NORTH HEALTH SERVICE CORPORATION
Active
Other names
Reavis School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNEICE MILLS-THOMAS (EXECUTIVE DIRECTOR)
(312) 337-1073
Entity
Organization
Contact information
Practice address
834 E 50TH ST, CHICAGO, IL 60615-2620
(773) 358-6767
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610
(312) 337-1073
(312) 337-7616
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/26/2021
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