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FP606289 PLANNED PARENTHOOD OF ILLINOIS (Terminated)
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Main Details
Name
PLANNED PARENTHOOD OF ILLINOIS
Subdivision Name
ROSELAND HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP606289
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
11250 S HALSTED STREET
CHICAGO, IL 60628
Billing Address
PLANNED PARENTHOOD/CHICAGO AREA
18 S. MICHIGAN AVE, 6TH FLOOR
CHICAGO, IL 60603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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4/15/08 UPDATED ENTITY NAME (WAS PLANNED PARENTHOOD/CHICAGO AREA);5/23/07 UPDATED MEDICAID # (WAS 362170901001); 2/14/07 ADDED BILL TO; 2/14/07 ADDED SHIP TO;
03/11/2010
April 2025
April 2025
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