ERIE FAMILY HEALTH CENTER INC (NPI# 1396181590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396181590 |
Entity Type | Organization |
Organization Name | ERIE FAMILY HEALTH CENTER INC |
Other Organization Name | ERIE FOSTER AVENUE HEALTH CENTER |
Practice Address |
5215 N California Ave Ste F700 Chicago IL 60625-7014 |
Practice Telephone | 3126663494 |
Practice Fax Number | 3126660610 |
Mailing Telephone | 3126663494 |
Mailing Fax Number | 3126660610 |
Enumeration Date | 2013-05-14 |
Last Update Date | 2013-05-14 |
Authorized Official Name | MRS. GABRIELA NORENA (BILLING MANAGER) |
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 PART B | 748480 | 01 |
IL | BLUE CROSS BLUE SHIELD | 1616827 | 01 |
Other Name | Type Code |
---|---|
Erie Foster Avenue Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1700144243 | Erie Family Health Center Inc | Clinic/Center | 2418 W Division St, Chicago, IL 60622-2940 | 2012-05-02 |
Street Address |
5215 N CALIFORNIA AVE STE F700 |
City | CHICAGO |
State | IL |
Zip Code | 60625-7014 |
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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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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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.