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Contact Information

LAWNDALE CHRISTIAN HEALTH CENTER
3219 W CARROLL AVE
CHICAGO, IL60624-2031
 Phone: 872-588-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Dentist

122300000X
 

Licensed Practical Nurse

164W00000X
 

Nutritionist

133N00000X
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LAWNDALE CHRISTIAN HEALTH CENTER

NPI # 1831590421
LBN Legal business name LAWNDALE CHRISTIAN HEALTH CENTER
Authorized official KAREN JOHNSON - (ASST DIR OF PATIENT ACCOUNTING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2014
Last updated 07/01/2021 - About 5 years 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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