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General NPI Number Information
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NPI Number | 1124187125
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Entity Type | Organization
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Legal Business Name | ESPERANZA HEALTH CENTERS
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 2001 S. CALIFORNIA AVE SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60608-2405
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Country | US
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Telephone | 773-584-1635
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Fax | 773-376-8845
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Provider Business Mailing Address
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Address Line | 2001 S. CALIFORNIA AVE SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60608-2405
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Country | US
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Telephone | 773-584-6132
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Fax | 773-376-8845
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | ZACHARY SPREITZER
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Credential |
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Telephone | 773-640-5785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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