MEDICARE: GREATER FAMILY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1750275640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER FAMILY HEALTH

Provider Business Mailing Address
First Line	:	370 SUMMIT ST
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-3843
Country	:	US
Telephone Number	:	844-599-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 LEE ST
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-1518
Country	:	US
Telephone Number	:	844-599-3700
Fax Number	:

Authorized Official
Title or Position	:	BILLING LEAD
Name	:	MARLEN HURTADO
Credential	:
Telephone Number	:	847-608-6318

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	06/05/2025

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Directions to “GREATER FAMILY HEALTH ” Practice Location

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