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
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None 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.