Chikare Health System Pc | |
915 W Chicago Ave East Chicago IN 46312-3308 | |
(219) 397-6000 | |
Not Available |
Full Name | Chikare Health System Pc |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 915 W Chicago Ave, East Chicago, Indiana |
Authorized Official Name and Position | Kanayo Odeluga (MD/OWNER) |
Authorized Official Contact | 2193976000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chikare Health System Pc 915 W Chicago Ave East Chicago IN 46312-3308 Ph: (219) 397-6000 | Chikare Health System Pc 915 W Chicago Ave East Chicago IN 46312-3308 Ph: (219) 397-6000 |
NPI Number | 1285298067 |
---|---|
Provider Enumeration Date | 04/26/2019 |
Last Update Date | 01/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285298067 | NPI | - | NPPES |
01047947A | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 9 days ago
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