Organization
CIRCLE FAMILY HEALTHCARE NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE HINES (CEO)
(773) 379-1000
Entity
Organization
Contact information
Practice address
1201 S CAMPBELL AVE, CHICAGO, IL 60608-1013
(312) 733-8570
(312) 733-8572
Mailing address
5002 W MADISON ST, CHICAGO, IL 60644-4127
(773) 379-1000
(773) 379-1342
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
23624
IL
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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