MEDICARE: ERIE FAMILY HEALTH CENTER INC.

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)		IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	748480	OTHER	IL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1616827	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1215228192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIE FAMILY HEALTH CENTER INC.

Provider Business Mailing Address
First Line	:	1701 W SUPERIOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-5646
Country	:	US
Telephone Number	:	312-666-3494
Fax Number	:	312-666-0610

Provider Business Practice Location Address
First Line	:	4015 N ASHLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-2593
Country	:	US
Telephone Number	:	312-666-3494
Fax Number	:

Authorized Official
Title or Position	:	PATIENT ACCOUNT SUPERVISOR
Name	:	MISS GABRIELA NORENA
Credential	:
Telephone Number	:	312-432-7444

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	04/26/2011

Similar Medicare Providers

1649284357 — MS. CECILIA ACKMANN APN, CNP
Practice Location Address:

4015 N ASHLAND AVE
CHICAGO, IL
60613-2593

Practice Phone: 773-404-0447
Practice Fax:

1538173240 — MS. SUSAN K KURTENBACH APN
Practice Location Address:

4015 N ASHLAND AVE
CHICAGO, IL
60613-2593

Practice Phone: 773-404-0447
Practice Fax: 773-404-2484

1821203621 — ADVOCATE NORTH SIDE HEALTH NETWORK
Practice Location Address:

4015 N ASHLAND AVE
CHICAGO, IL
60613-2593

Practice Phone: 773-404-0447
Practice Fax:

1326796319 — MARIA ISABEL ALMANZA LCSW
Practice Location Address:

4015 N ASHLAND AVE
CHICAGO, IL
60613-2593

Practice Phone: 312-432-4542
Practice Fax:

1932536570 — MS. BECKY JUNE NAGEL LCSW
Practice Location Address:

1 E SUPERIOR ST STE 500B
CHICAGO, IL
60611-2593

Practice Phone: 312-391-0273
Practice Fax:

1578129870 — DR. ALANA JULIA KINGSLEY PSYD
Practice Location Address:

1 E SUPERIOR ST STE 506
CHICAGO, IL
60611-2593

Practice Phone: 847-337-6563
Practice Fax:

Directions to “ERIE FAMILY HEALTH CENTER INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.