CHRISTIAN COMMUNITY HEALTH CENTER; NPI #1396078374

Contact Information

CHRISTIAN COMMUNITY HEALTH CENTER

1701 W MONTEREY AVE
CHICAGO, IL 60643-4257

Phone: 773-233-5850
Fax: 773-233-4055
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Health	261QC1500X

Indicates primary specialty

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NPI Profile & details for CHRISTIAN COMMUNITY HEALTH CENTER

NPI Number	`1396078374`
LBN Legal business name	CHRISTIAN COMMUNITY HEALTH CENTER
Authorized official	VIRGIL TOLBERT - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/09/2009
Last updated	02/09/2022 - About 4 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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