ERIE FAMILY HEALTH CENTER, INC


Address: 646 N Lawndale Ave, Chicago, IL 60624-1254
Phone: 3124327423

ERIE FAMILY HEALTH CENTER, INC (NPI# 1770770273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770770273
Entity Type Organization
Organization Name ERIE FAMILY HEALTH CENTER, INC
Other Organization Name ERIE WESTSIDE FAMILY HEALTH
Practice Address 646 N Lawndale Ave
Chicago
IL 60624-1254
Mailing Address 1701 W Superior St
Chicago
IL 60622-5646
Practice Telephone 3124327423
Mailing Telephone 3126663494
Enumeration Date 2007-09-28
Last Update Date 2008-12-15
Authorized Official Name MISS GABRIELA NORENA (BILLING DEPARTMENT SUPERVISOR)
Authorized Official Telephone 3124327444
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD PROVIDER NUMBER 1616827 01
IL MEDICARE PART B 748480 01

Other Provider/Organization Names

Other Name Type Code
Erie Westside Family Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861689366 Erie Family Health Center, Inc Clinic/Center 1313 N Claremont Ave, Chicago, IL 60622-2910 2007-09-28
1134316631 Erie Family Health Center, Inc Clinic/Center 1945 W Wilson Ave Fl 5, Chicago, IL 60640-5255 2007-09-28
1821565060 Erie Family Health Center, Inc Case Management 1701 W Superior St Fl 3, Chicago, IL 60622-5646 2018-10-25
1407043912 Erie Family Health Center, Inc Clinic/Center 2750 W North Ave, Chicago, IL 60647-5247 2007-09-28
1952598468 Erie Family Health Center, Inc Clinic/Center 4759 N Kedzie Ave, Chicago, IL 60625-4420 2007-09-28
1760499545 Erie Family Health Center, Inc Clinic/Center 1701 W Superior St, Chicago, IL 60622-5646 2006-08-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ERIE FAMILY HEALTH CENTER, INC. 1701 W Superior Ave, Chicago, IL 60622-5646

Office Location

Street Address 646 N LAWNDALE AVE
City CHICAGO
State IL
Zip Code 60624-1254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538356639 Jacqueline Mcsparron Physician Assistant 646 N Lawndale Ave, Chicago, IL 60624-1254 2007-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669071932 Euginia Ivanova Counselor 3410 W. Roosevelt Rd, Chicago, IL 60624 2020-10-19
1629619572 Denise R Bean Technician 3322 West Polk St, Chicago, IL 60624 2019-10-02
1033693742 Ahmed Hussain Memon Nurse Practitioner 3800 West Madison, Chicago, IL 60624 2018-09-18
1487104006 Jeffrey Blythe Social Worker 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 2016-10-06
1366992216 Brian Macwilliams Social Worker 3605 W. Fillmore St, Chicago, IL 60624 2016-10-04
1982151510 Darryl Lamont Clayton Counselor 3605 W. Fillmore, Chicago, IL 60624 2016-09-01
1821487646 Total Enrichment Services Inc. Counselor 3335 W Washington Blvd, Chicago, IL 60624 2015-01-16
1295038818 Raad N Rashan M D S C Internal Medicine 3743 W Chicago Ave, Chicago, IL 60624 2010-12-21
1194044453 Theresa Roberts Speech-Language Pathologist 3240 W. Franklin Blvd, Chicago, IL 60624 2010-05-26
1154570208 Ht Outpatient Pharmacy Pharmacy 3435 W Vanburen St, Chicago, IL 60624 2008-09-13
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724390 Friend Family Health Center, Inc Clinic/Center 7355 S Jeffery Blvd, Chicago, IL 60649-3121 2020-06-11
1871117937 Primecare Community Health Inc Clinic/Center 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 2020-06-04
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
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Competitor

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City CHICAGO
Zip Code 60624

Improve Information

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Dataset Information

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.

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