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HV60120 OPEN DOOR CLINIC OF GREATER ELGIN (Terminated)
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Main Details
Name
OPEN DOOR CLINIC OF GREATER ELGIN
Subdivision Name
Type
Ryan White Part C
340B ID
HV60120
Grant Number
H76HA01704
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/7/2004
Last Recertification Date
2/28/2022
Time Period the Assistance was Received
5/1/2018 - 5/1/2022
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Open Door Healh Centers of Illonis
Perry Maier, Executive Director
(847) 695-1093
Primary Contact
Open door health center
Robert Barnes, Finance manager
(847) 695-1093 Ext: 220
Addresses
Street Address
1665 Larkin Ave
ELGIN, IL 60123
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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