ERIE FAMILY HEALTH CENTER INC.; NPI #1144461385

Contact Information

ERIE FAMILY HEALTH CENTER INC.

1147 N WESTERN AVE
CHICAGO, IL 60622-2931

Phone: 312-666-3494
Fax:
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 ERIE FAMILY HEALTH CENTER INC.

NPI # 1144461385

LBN Legal business name ERIE FAMILY HEALTH CENTER INC.

Authorized official GABRIELA NORENA - (BILLING DEPARTMENT SUPREVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/18/2009

Last updated 03/18/2009 - About 17 years ago

Identifiers

IL	License #	261QF0400X
IL	Other	1616827	BLUE CROSS BLUE SHILED PROVIDER NUMBER
IL	Other	748480	MEDICARE PART B

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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