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HV60120A OPEN DOOR CLINIC OF GREATER ELGIN (Terminated)
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Main Details
Name
OPEN DOOR CLINIC OF GREATER ELGIN
Subdivision Name
AURORA CLINIC
Type
Ryan White Part C
340B ID
HV60120A
Grant Number
H76HA01704
Additional Details
Current Program Status
Terminated
Registration Date
2/2/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/27/2012
Last Recertification Date
2/28/2022
Time Period the Assistance was Received
5/1/2018 - 4/30/2022
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
157 S. Lincoln Avenue
Aurora, IL 60505
Billing Address
OPEN DOOR CLINIC OF GREATER ELGIN
1665 Larkin
Elgin, IL 60123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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