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RWI60120 OPEN DOOR CLINIC OF GREATER ELGIN (Active)
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Main Details
Name
OPEN DOOR CLINIC OF GREATER ELGIN
Subdivision Name
Type
Ryan White Part A
340B ID
RWI60120
Grant Number
H89HA00008
Additional Details
Current Program Status
Active
Registration Date
2/2/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/5/2012
Last Recertification Date
2/18/2025
Time Period the Assistance was Received
2/28/2025 - 2/28/2027
Contacts
Authorizing Official
Open Door Healh Centers of Illonis
Perry Maier, Executive Director
(847) 695-1093
Primary Contact
Open Door Health Center of Illinois
Anna Siu Chu, Accountant
(847) 695-1093 Ext: 214
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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April 2025
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