National Provider Identifier Database

CHRISTIAN COMMUNITY HEALTH CENTER
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

CHRISTIAN COMMUNITY HEALTH CENTER
9718 S HALSTED ST
CHICAGO, IL60628-1007
Phone: 773-233-4100
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CHRISTIAN COMMUNITY HEALTH CENTER

NPI Number 1750757449
Legal business name
LBN
CHRISTIAN COMMUNITY HEALTH CENTER
Authorized official DARLENE OGBUAGU - (MANAGER, REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 08/17/2015
Last updated 02/09/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 209012746

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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