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CH051050 CHICAGO FAMILY HEALTH CENTER, INC. (Active)
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Main Details
Name
CHICAGO FAMILY HEALTH CENTER, INC.
Subdivision Name
CHICAGO FAMILY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002407
340B ID
CH051050
Grant Number
H80CS00514
Additional Details
Current Program Status
Active
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
10/13/2004
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
9119 S Exchange Ave
Chicago, IL 60617-4225
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/13/2004
April 2025
April 2025
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