Organization · Type 2 NPI

Primecare Community Health, Inc.

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1225010911 Active

Practice location

1431 N Western Ave, Ste 406
Chicago, IL 60622-1797

Call (312) 633-5841 Map

Fax (312) 491-5020

Mailing address

2232 N Clybourn Ave Fl 3
Chicago, IL 60614-3193

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1225010911

Primecare Community Health, Inc.'s National Provider Identifier is 1225010911, issued on Nov 17, 2005. 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 Oct 26, 2017.