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FP606218 PLANNED PARENTHOOD OF ILLINOIS (Terminated)
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Main Details
Name
PLANNED PARENTHOOD OF ILLINOIS
Subdivision Name
ENGLEWOOD HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP606218
Grant Number
FPHPA006456-01-00
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
4/12/2005
Last Recertification Date
6/7/2019
Termination Date
Termination Reason
1/6/2020
Loss of qualifying grant/support
Contacts
Authorizing Official
Planned Parenthood of Illinois
Richard Powell, Chief Financial Officer
(312) 592-6878
Primary Contact
Planned Parenthood of Illinois
Emily K Glover, Vice President of Patient Services
(312) 592-6800 Ext: 6854
Addresses
Street Address
6059 S ASHLAND AVE
CHICAGO, IL 60636
Billing Address
PLANNED PARENTHOOD/CHICAGO AREA
18 S. MICHIGAN AVE, 6TH FLOOR
CHICAGO, IL 60603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
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2/14/07 - ADDED BILL TO, SHIP TO; 5/23/07 NEW MEDICAID # (WAS 362170901001); 4/15/08 CHANGED NAME (WAS PLANNED PARENTHOOD/CHICAGO AREA)
03/11/2010
May 2025
May 2025
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