NPI | 1881913531 |
---|---|
Doing Business As | HOWARD BROWN HEALTH HALSTED |
Entity Type | Organization |
Authorized Contact | BURGUNDY JOHNSON Billing Manager 773-388-3491 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
1223G0001X Dentist General Practice | |
1223P0221X Dentist Pediatric Dentistry | |
251S00000X Community/Behavioral Health (Licence: IL 30411) | |
Enumeration Date | 2010-05-20 |
Last Update Date | 2023-05-10 |