institution
Erie Family Health Center Inc.
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1144461385

Erie Family Health Center Inc. is a Federally Qualified Health Center (FQHC) based in Chicago, IL and is specialized in Federally Qualified Health Center (FQHC). Erie Family Health Center Inc. practices in Chicago, IL. The NPI Number for Erie Family Health Center Inc. is 1144461385 and holds a License No. 261QF0400X (Illinois).

The current practice location address for Erie Family Health Center Inc. is 1147 N Western Ave, Chicago, IL and can be reached out via phone at 312-666-3494.

Location: 1147 N Western Ave, Chicago, IL, 60622-5646
institution
Provider Profile Details
NPI Number
1144461385
Provider Name
Erie Family Health Center Inc.
Credential
Provider Entity Type
Organization
Address
1147 N Western Ave, Chicago, IL, 60622-5646
Phone Number
312-666-3494
Fax Number
Provider Enumeration Date
03/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1616827 01 IL BLUE CROSS BLUE SHILED PROVIDER NUMBER
748480 01 IL MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
1147 N Western Ave
City
State
Zip
60622-2931
Phone Number
312-666-3494
Fax Number
person
Provider Business Mailing Address Details
Address
1147 N Western Ave
City
State
Zip
60622-2931
Phone Number
312-666-3494
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
261QF0400X (Illinois)
Definition
Definition to come...
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