National Provider Identifier Database

CHICAGO FAMILY HEALTH CENTER INC
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

CHICAGO FAMILY HEALTH CENTER, INC.
120 W. 111TH ST.
CHICAGO, IL60628
Phone: 773-768-5000
Fax: 773-374-1621
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CHICAGO FAMILY HEALTH CENTER, INC.

NPI Number 1770785644
Legal business name
LBN
CHICAGO FAMILY HEALTH CENTER, INC.
Authorized official JOSEPH BOKLAGE - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/04/2007
Last updated 09/21/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 1697382 CITY LICENSE
  • IL Other: 14D1053833 CLIA LICENSE

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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