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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

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

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

NPI # 1770785644
LBN Legal business name CHICAGO FAMILY HEALTH CENTER, INC.
Authorized official JOSEPH BOKLAGE - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2007
Last updated 09/21/2016 - About 10 years ago
Identifiers
IL Other 1697382 CITY LICENSE
IL Other 14D1053833 CLIA LICENSE
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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