National Provider Identifier Database

LAWNDALE CHRISTIAN 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

LAWNDALE CHRISTIAN HEALTH CENTER
3219 W CARROLL AVE
CHICAGO, IL60624-2031
Phone: 872-588-3000
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical 103TC0700X
Counselor 101Y00000X
Dentist 122300000X
Licensed Practical Nurse 164W00000X
Nutritionist 133N00000X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for LAWNDALE CHRISTIAN HEALTH CENTER

NPI Number 1831590421
Legal business name
LBN
LAWNDALE CHRISTIAN HEALTH CENTER
Authorized official KAREN JOHNSON - (ASST DIR OF PATIENT ACCOUNTING)
Entity Organization
Organization subpart No
Enumeration date 09/15/2014
Last updated 07/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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