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NPI Code Detail

MEDICARE: ESPERANZA HEALTH CENTERS

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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1669812582
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESPERANZA HEALTH CENTERS
Provider Business Mailing Address
First Line : 6550 S RICHMOND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-2821
Country : US
Telephone Number : 773-584-6202
Fax Number :
Provider Business Practice Location Address
First Line : 6550 S RICHMOND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-2821
Country : US
Telephone Number : 773-584-6202
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BILLING & PATIENT ACCES
Name : JEFFREY MCINNES
Credential :
Telephone Number : 773-640-5785
Provider Enumeration Date : 06/25/2013
Last Update Date : 09/29/2020

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Directions to “ESPERANZA HEALTH CENTERS ” Practice Location

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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.

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