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CH05105C CHICAGO FAMILY HEALTH CENTER, INC. (Active)
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Main Details
Name
CHICAGO FAMILY HEALTH CENTER, INC.
Subdivision Name
Chicago Family Health Center- Chicago Lawn
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009435
340B ID
CH05105C
Grant Number
H80CS00514
Additional Details
Current Program Status
Active
Registration Date
6/18/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/18/2010
Last Recertification Date
3/7/2025
Contacts
Authorizing Official
Chicago Family Health Center
Sherry Pace, Chief Executive Officer
(773) 364-2204
Primary Contact
Chicago Family Health Center
Lamont Belk, Credentialing Specialist
(773) 364-2365
Addresses
Street Address
3223 W 63rd St
Chicago, IL 60629-3333
Billing Address
CHICAGO FAMILY HEALTH CENTER
9119 S. EXCHANGE AVE
CHICAGO, IL 60617
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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