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FQHCLA479A MIDWEST REFUAH HEALTH CENTER (Active)
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Main Details
Name
MIDWEST REFUAH HEALTH CENTER
Subdivision Name
Midwest Refuah Health Center - Admin/Medical
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-039532
340B ID
FQHCLA479A
Grant Number
LALCS54728
Additional Details
Current Program Status
Active
Registration Date
1/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/10/2025
Last Recertification Date
Contacts
Authorizing Official
Midwest Refuah Health Center
Ned Schoenfeld, CEO
(872) 270-5999
Primary Contact
Midwest Refuah Health Center
Bob Van Gilder, CFO
(872) 225-5882 Ext: 1081
Addresses
Street Address
6374 N Lincoln Ave, Ste 204
Chicago, IL 60659-1219
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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