National Provider Identifier Database

CHICAGO FAMILY HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CHICAGO FAMILY HEALTH CENTER, INC.
570 E 115TH ST
CHICAGO, IL60628-5740
Phone: 773-768-5000
Fax: 773-840-3409
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

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

NPI Number 1063614923
Legal business name
LBN
CHICAGO FAMILY HEALTH CENTER, INC.
Authorized official JOSEPH BOKLAGE - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/04/2007
Last updated 09/21/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 7991 CITY LICENSE
  • IL Other: 14D0696915 CLIA CERTIFICATE
  • IL Other: 097001196 CONTROL SUBSTANCE LICENSE

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.

Reviews for CHICAGO FAMILY HEALTH CENTER, INC.

There are currently no reviews for CHICAGO FAMILY HEALTH CENTER, INC.


NPIdb - Home
v2.201