National Provider Identifier Database

CIRCLE FAMILY CARE
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

CIRCLE FAMILY CARE
4909 W DIVISION ST
SUITE 307
CHICAGO, IL60651-3161
Phone: 773-379-1000
Fax: 773-379-1342
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CIRCLE FAMILY CARE

NPI Number 1124298492
Legal business name
LBN
CIRCLE FAMILY CARE
Authorized official REUBEN PETTIFORD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 03/03/2008
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

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