Organization · Type 2 NPI

Community Health Partnership of Illinois

Federally Qualified Health Center (FQHC) · Mendota, IL

NPI number 1093981367 Active

Practice location

1009 Main St
Mendota, IL 61342-1604

Fax (815) 539-9015

Mailing address

205 W Randolph St, Suite 2222
Chicago, IL 60606-1867

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

About NPI 1093981367

Community Health Partnership of Illinois's National Provider Identifier is 1093981367, issued on May 6, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mendota, IL. The record was last updated on Oct 30, 2015.