NPI | 1417336264 |
---|---|
Other Name | CREEKSIDE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JASON CAREY CFO 847-608-6053 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2021-05-27 |