ENGLEWOOD COMMUNITY CONNECTION OUTREACH; NPI #1366817017

Contact Information

ENGLEWOOD COMMUNITY CONNECTION OUTREACH

7326 S EXCHANGE AVE
CHICAGO, IL 60649-3408

Phone: 773-885-2974
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for ENGLEWOOD COMMUNITY CONNECTION OUTREACH

NPI Number	`1366817017`
LBN Legal business name	ENGLEWOOD COMMUNITY CONNECTION OUTREACH
Authorized official	DELORES TAYLOR - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/07/2015
Last updated	12/07/2015 - About 10 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ENGLEWOOD COMMUNITY CONNECTION OUTREACH

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for ENGLEWOOD COMMUNITY CONNECTION OUTREACH

Reviews for ENGLEWOOD COMMUNITY CONNECTION OUTREACH