institution
Erie Family Health Center Inc
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1770900839

Erie Family Health Center Inc is a Federally Qualified Health Center (FQHC) based in Mundelein, 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 1770900839 and holds a License No. (Illinois).

The current practice location address for Erie Family Health Center Inc is 1701 W Superior St, Chicago, IL and can be reached out via phone at 312-666-3494 and via fax at 312-666-0610.

Location: 1701 W Superior St, Chicago, IL, 60060-2318
institution
Provider Profile Details
NPI Number
1770900839
Provider Name
Erie Family Health Center Inc
Credential
Provider Entity Type
Organization
Address
1701 W Superior St, Chicago, IL, 60060-2318
Phone Number
312-666-3494
Fax Number
312-666-0610
Provider Enumeration Date
03/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
748480 01 IL MEDICARE PART B
1616827 01 IL B/C B/S
institution
Provider Business Practice Location Address Details
Address
1701 W Superior St
City
State
Zip
60622-5646
Phone Number
312-666-3494
Fax Number
312-666-0610
person
Provider Business Mailing Address Details
Address
1701 W Superior St
City
State
Zip
60622-5646
Phone Number
312-666-3494
Fax Number
312-666-0610
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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