CHICAGO FAMILY HEALTH CENTER, INC.; NPI #1730436452

Contact Information

CHICAGO FAMILY HEALTH CENTER, INC.

3963 W BELMONT AVE
242
CHICAGO, IL 60618-5149

Phone: 773-592-0696
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Health	261QC1500X

Indicates primary specialty

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NPI Profile & details for CHICAGO FAMILY HEALTH CENTER, INC.

NPI Number 1730436452

LBN Legal business name CHICAGO FAMILY HEALTH CENTER, INC.

Authorized official ROBERT MAZIARKA - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/13/2012

Last updated 08/13/2012 - About 14 years ago

Identifiers

License #

149015413

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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