| Organization Name: | CHICAGO FAMILY HEALTH CENTER, INC. |
| NPI Number: | 1063614923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMELIA RODRIGUEZ (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 556 E 115th St Chicago |
| State: | IL US |
| Postal Code: | 606285740 |
| Phone Number: | 7737685000 |
| Fax Number: | 7733741621 |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 12/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 7991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |