| NPI | 1033860424 |
|---|---|
| Former Legal Business Name | GREATER ELGIN FAMILY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARLEN HURTADO Billing Lead 847-608-6318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |