Erie Family Health Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Chicago, IL. Organization (NPI-2).
NPI number1861689366
StatusActive
Last updated in NPPESJun 2, 2008
Details
- NPI
- 1861689366
- Entity type
- Organization (NPI-2)
- Legal business name
- Erie Family Health Center, INC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2007
- Last updated
- Jun 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | IL | Yes |
Other names
- Jose De Diego School Based Hlth (Doing Business As)
Practice location
1313 N Claremont AveChicago, IL 60622-2910
Phone 773-534-4044
Mailing address
1701 W Superior StChicago, IL 60622-5646
Phone 312-666-3494
Authorized official
Gabriela Norena
Billing Department Supervisor
3124327444
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