Chicago Family Health Center

LBN: Chicago Family Health Center, Inc.
Chicago Family Health Center is an health care organization with primary practice located at 9119 S. Exchange Ave. , Chicago IL 60617. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Chicago Family Health Center, Inc. can be contacted via phone (773) 768-5000, or through Boklage, Joseph Eric via phone (773) 768-5000.

Contact Information

Primary practice address
9119 S. Exchange Ave. Chicago IL 60617
Phone: (773) 768-5000
Fax: (773) 374-1621
Website:
Map and Directions
Authorized official contact:
Name: Boklage, Joseph Eric
Phone: (773) 768-5000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1245266337
LBN Legal business name Chicago Family Health Center, Inc.
DBA Doing business as Chicago Family Health Center
Authorized official Boklage, Joseph Eric
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245266337 NPPES
Illinois Other 14D0696914 CLIA LICENSE
Illinois Other 1168069 CLIA LICENSE

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