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RWI60614 Chicago House and Social Service Agency (Active)
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Main Details
Name
Chicago House and Social Service Agency
Subdivision Name
Type
Ryan White Part A
340B ID
RWI60614
Grant Number
H89HA00008
Additional Details
Current Program Status
Active
Registration Date
7/13/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/22/2016
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
2/1/2025 - 2/28/2026
Contacts
Authorizing Official
Chicago House and Social Service Agency
Judy Perloff, Chief Program Officer
(773) 248-5200 Ext: 311
Primary Contact
Chicago House and Social Service Agency
Fred Myrick, Pharmacy Services Manager
(773) 248-5200 Ext: 418
Addresses
Street Address
2229 S Michigan Avenue
Suite 304
Chicago, IL 60616
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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