Organization · Type 2 NPI
Erie Family Health Center Inc.
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1164713129
Active
Practice location
5110 N Damen Ave
Chicago, IL 60625-1317
Mailing address
1701 W Superior St
Chicago, IL 60622-5646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 261QF0400X (IL) |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1164713129
Erie Family Health Center Inc.'s National Provider Identifier is 1164713129, issued on Apr 26, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on Apr 26, 2011.