NPI | 1396181590 |
---|---|
Doing Business As | ERIE FOSTER AVENUE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GABRIELA NORENA Billing Manager 312-432-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2013-05-14 |