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RWI60614A Chicago House & Social Service Agency (Active)
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Main Details
Name
Chicago House & Social Service Agency
Subdivision Name
Independent Living Program Offices
Type
Ryan White Part A
340B ID
RWI60614A
Grant Number
H89HA00008
Additional Details
Current Program Status
Active
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/27/2018
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
5036 N. Kenmore
Chicago, IL 60640
Billing Address
Chicago House and Social Service Agency
2229 South Michigan Avenue
Suite 304
Chicago, IL 60616
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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