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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for CIRCLE FAMILY CARE

NPI # 1124298492
LBN Legal business name CIRCLE FAMILY CARE
Authorized official REUBEN PETTIFORD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2008
Last updated 04/20/2008 - About 18 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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