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CH05006Z Community Health Partnership of Illinois (Active)
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Main Details
Name
Community Health Partnership of Illinois
Subdivision Name
Mobile Medical & Dental Van
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032749
340B ID
CH05006Z
Grant Number
H80CS00748
Additional Details
Current Program Status
Active
Registration Date
10/6/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/2/2022
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Community Health Partnership of Illinois
Eleace Erica Sawyers, Chief Executive Officer
(786) 299-1724
Primary Contact
Community Health Partnership of Illinois
Robert Aguero, Vice President of Finance
(786) 299-7618
Addresses
Street Address
1009 Main St
Mendota, IL 61342-1604
Billing Address
Community Health Partnership of Illinois
205 W Randolph Street
1340
Chicago, IL 60606
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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