NPI | 1174070676 |
---|---|
Doing Business As | AUNT MARTHA'S BLUE ISLAND COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | AUDREY PENNINGTON Executive VP Of Health 773-802-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2017-01-13 |