MEDICARE: ACCESS COMMUNITY HEALTH NETWORK

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	:	1699701383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS COMMUNITY HEALTH NETWORK

Provider Business Mailing Address
First Line	:	600 W FULTON ST STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-1259
Country	:	US
Telephone Number	:	312-526-2051
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 W FULTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-1259
Country	:	US
Telephone Number	:	312-526-2200
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT MANAGER
Name	:	NICOLE JACKSON
Credential	:
Telephone Number	:	312-526-2279

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	01/16/2026

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Directions to “ACCESS COMMUNITY HEALTH NETWORK ” Practice Location

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