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NPI Code Detail

MEDICARE: HEALTH FIRST NETWORK INC

MEDICARE: HEALTH FIRST NETWORK 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
1251S00000XCommunity/Behavioral Health Agency
2261QC1800XCorporate Health Clinic/Center
3164W00000XLicensed Practical Nurse
4171M00000XCase Manager/Care Coordinator
5174H00000XHealth Educator
6163W00000XRegistered Nurse
7163WC0400XCase Management Registered Nurse
8163WC1500XCommunity Health Registered Nurse
9376J00000XHomemaker

General Provider Information

NPI Number : 1255796199
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH FIRST NETWORK INC
Provider Business Mailing Address
First Line : 1136 S DELANO CT W STE B201/2015
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3740
Country : US
Telephone Number : 708-712-0905
Fax Number : 888-267-3865
Provider Business Practice Location Address
First Line : 1136 SOUTH DELANO COURT WEST
Second Line : SUITE B201/2015
City : CHICAGO
State : IL
Zip : 60605-3740
Country : US
Telephone Number : 708-712-0905
Fax Number : 888-267-3865
Authorized Official
Title or Position : PRESIDENT
Name : SANDRA UNDERWOOD
Credential :
Telephone Number : 312-999-8564
Provider Enumeration Date : 12/18/2015
Last Update Date : 05/23/2022

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