ERIE FAMILY HEALTH CENTER INC (NPI# 1700144243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700144243 |
| Entity Type | Organization |
| Organization Name | ERIE FAMILY HEALTH CENTER INC |
| Other Organization Name | ERIE DIVISION STREET HEALTH CENTER |
| Practice Address |
2418 W Division St Chicago IL 60622-2940 |
| Mailing Address |
1701 W Superior Chicago IL 60622-5646 |
| Practice Telephone | 3126663494 |
| Practice Fax Number | 3126660610 |
| Mailing Telephone | 3126663494 |
| Mailing Fax Number | 3126660610 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | MISS GABRIELA NORENA (PATIENT ACCOUNT SUPERVISOR) |
| Authorized Official Telephone | 3124327444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | 748480 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 1616827 | 01 |
| Other Name | Type Code |
|---|---|
| Erie Division Street Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396181590 | Erie Family Health Center Inc | Clinic/Center | 5215 N California Ave Ste F700, Chicago, IL 60625-7014 | 2013-05-14 |
| 1629328836 | Erie Family Health Center Inc | Clinic/Center | 1285 Hartrey, Evanston, IL 60202-1056 | 2012-09-14 |
| 1043407547 | Erie Family Health Center Inc | Clinic/Center | 1504 S Albany, Chicago, IL 60623-2209 | 2007-09-28 |
| 1770900839 | Erie Family Health Center Inc | Clinic/Center | 1701 W Superior St, Chicago, IL 60622-5646 | 2014-03-26 |
| 1851712053 | Erie Family Health Center Inc | Clinic/Center | 1701 W Superior St, Chicago, IL 60622-5646 | 2013-12-16 |
| 1255681383 | Erie Family Health Center Inc | Family Medicine | 1701 W Superior St, Chicago, IL 60622-5646 | 2012-09-17 |
| Street Address |
2418 W DIVISION ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232628 | City of Chicago | Clinic/Center | 2418 W Division St, Chicago, IL 60622-2940 | 2005-08-15 |
| 1255956660 | Laura Leigh Nozicka | Advanced Practice Midwife | 2418 W Division St, Chicago, IL 60622-2940 | 2020-06-11 |
| 1164051595 | Maria Dominique Pirotte | Registered Nurse | 2418 W Division St, Chicago, IL 60622-2940 | 2020-04-07 |
| 1396200382 | Laboratory Corporation of America | Clinical Medical Laboratory | 2418 W Division St, Chicago, IL 60622-2940 | 2019-02-05 |
| 1790295871 | Tatum Megumi Stewart | Social Worker | 2418 W Division St, Chicago, IL 60622-2940 | 2017-10-03 |
| 1649701954 | Megan Whitley Hatcher | Family Medicine | 2418 W Division St, Chicago, IL 60622-2940 | 2017-03-27 |
| 1639621071 | Mary K Osborne | Nurse Practitioner | 2418 W Division St, Chicago, IL 60622-2940 | 2016-11-02 |
| 1326498569 | Manas Parikh | Pediatrics | 2418 W Division St, Chicago, IL 60622-2940 | 2016-06-19 |
| 1275996118 | Nicole Ashley Quien | Family Medicine | 2418 W Division St, Chicago, IL 60622-2940 | 2016-03-29 |
| 1487023461 | Allison Clark Young | Nurse Practitioner | 2418 W Division St, Chicago, IL 60622-2940 | 2015-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
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| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.