Healthcare Provider Details

I. General information

NPI: 1720982168
Provider Name (Legal Business Name): GREATER FAMILY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 S STATE ST
HAMPSHIRE IL
60140-9607
US

IV. Provider business mailing address

3150 W HIGGINS RD STE 130
HOFFMAN ESTATES IL
60169-7255
US

V. Phone/Fax

Practice location:
  • Phone: 844-599-3700
  • Fax:
Mailing address:
  • Phone: 844-599-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARLEN HURTADO
Title or Position: BILLING LEAD
Credential:
Phone: 847-608-6318