Organization Name: | WEST CHICAGO PUBLIC HEALTH CENTER |
NPI Number: | 1215184494 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN MCHUGH (EXECUTIVE DIRECTOR) |
Mailing Address: | 245 W Roosevelt Rd Bldg 14 Suite 148 West Chicago |
State: | IL US |
Postal Code: | 601853739 |
Phone Number: | 6306827979 |
Fax Number: | 6302216863 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |