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CH0512780 Tapestry 360 Health (Active)
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Main Details
Name
Tapestry 360 Health
Subdivision Name
Tapestry 360 Health - Administration
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032048
340B ID
CH0512780
Grant Number
H80CS00215
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/12/2003
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Tapestry 360 Health
Nicole Willis, CEO
(773) 296-7589
Primary Contact
Tapestry 360 Health
Jeren Stepp, VP Finance
(872) 260-3980
Addresses
Street Address
1301 W Devon Ave
Chicago, IL 60660
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/2/08 ENTITY NAME CHANGE (WAS UPTOWN INTERNATIONAL CENTER)
06/02/2008
May 2025
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