COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS; NPI #1093981367

Contact Information

COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS

1009 MAIN ST
MENDOTA, IL 61342-1604

Phone: 815-539-6124
Fax: 815-539-9015
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS

NPI Number	`1093981367`
LBN Legal business name	COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
Authorized official	SUSAN BAUER - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/06/2008
Last updated	10/30/2015 - About 11 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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