MEDICARE: ESPERANZA HEALTH CENTERS

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	:	1124187125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESPERANZA HEALTH CENTERS

Provider Business Mailing Address
First Line	:	2001 S. CALIFORNIA AVE
Second Line	:	SUITE 100
City	:	CHICAGO
State	:	IL
Zip	:	60608-2405
Country	:	US
Telephone Number	:	773-584-6132
Fax Number	:	773-376-8845

Provider Business Practice Location Address
First Line	:	2001 S. CALIFORNIA AVE
Second Line	:	SUITE 100
City	:	CHICAGO
State	:	IL
Zip	:	60608-2405
Country	:	US
Telephone Number	:	773-584-1635
Fax Number	:	773-376-8845

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	ZACHARY SPREITZER
Credential	:
Telephone Number	:	773-640-5785

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	08/02/2023

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