ERIE FAMILY HEALTH CENTER, INC (NPI# 1952598468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952598468 |
| Entity Type | Organization |
| Organization Name | ERIE FAMILY HEALTH CENTER, INC |
| Other Organization Name | ERIE HELPING HANDS HEALTH CTR |
| Practice Address |
4759 N Kedzie Ave Chicago IL 60625-4420 |
| Mailing Address |
1701 W Superior St Chicago IL 60622-5646 |
| Practice Telephone | 3126663494 |
| Mailing Telephone | 3126663494 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | MISS GABRIELA NORENA (BILLING DEPARTMENT 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) |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PART B | 748480 | 01 |
| IL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER | 1616827 | 01 |
| Other Name | Type Code |
|---|---|
| Erie Helping Hands Health Ctr | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770770273 | Erie Family Health Center, Inc | Clinic/Center | 646 N Lawndale Ave, Chicago, IL 60624-1254 | 2007-09-28 |
| 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 |
| 1760499545 | Erie Family Health Center, Inc | Clinic/Center | 1701 W Superior St, Chicago, IL 60622-5646 | 2006-08-02 |
| 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 |
| Street Address |
4759 N KEDZIE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386781763 | Kenneth James Patt | Internal Medicine | 4759 N Kedzie Ave, Chicago, IL 60625-4420 | 2007-02-01 |
| 1306373196 | Primary Urgent Care LLC | Family Medicine | 4759 N Kedzie Ave, Ste#100, Chicago, IL 60625 | 2017-05-11 |
| 1760858633 | Clinic 1, LLC | Internal Medicine | 4759 N Kedzie Ave, Suite 100, Chicago, IL 60625-4420 | 2015-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 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.