ERIE FAMILY HEALTH CENTER INC; NPI #1548062318

Contact Information

ERIE FAMILY HEALTH CENTER INC

4305 W MADISON ST
CHICAGO, IL 60624

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 #	`1548062318`
LBN Legal business name	ERIE FAMILY HEALTH CENTER INC
Authorized official	JUDITH EASTRIDGE - (DIRECTOR OF CREDENTIALING)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/25/2025
Last updated	03/25/2025 - More than a year 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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