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General NPI Number Information
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NPI Number | 1407458946
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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 | 11/10/2020
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 4058 W 63RD ST
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City | CHICAGO
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State | IL
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Zip | 60629-4639
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Country | US
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Telephone | 773-584-6200
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Fax | 844-285-1003
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Provider Business Mailing Address
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Address Line | 1940 S WESTERN AVE SUITE 205
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City | CHICAGO
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State | IL
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Zip | 60608-2503
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Country | US
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Telephone | 773-584-6200
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Fax | 844-285-1003
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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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