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CH05105AG Chicago Family Health Center, Inc. (Active)
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Main Details
Name
Chicago Family Health Center, Inc.
Subdivision Name
Chicago Family Health Center - CVCA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027541
340B ID
CH05105AG
Grant Number
H80CS00514
Additional Details
Current Program Status
Active
Registration Date
7/10/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/11/2019
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
2100 E 87th St
Chicago, IL 60617-3011
Billing Address
Chicago Family Health Center
9119 S Exchange Ave
Chicago, IL 60617
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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