National Provider Identifier Database

ENGLEWOOD COMMUNITY CONNECTION OUTREACH
Voluntary or Charitable


Contact Information

ENGLEWOOD COMMUNITY CONNECTION OUTREACH
7326 S EXCHANGE AVE
CHICAGO, IL60649-3408
Phone: 773-885-2974
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for ENGLEWOOD COMMUNITY CONNECTION OUTREACH

NPI Number 1366817017
Legal business name
LBN
ENGLEWOOD COMMUNITY CONNECTION OUTREACH
Authorized official DELORES TAYLOR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/07/2015
Last updated 12/07/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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