MEDICARE: FRIEND 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)

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141163	OTHER	IL	MEDICARE PTAN

General Provider Information

NPI Number	:	1891921623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIEND FAMILY HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	2436 W 47TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-1336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4802 S ASHLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-4233
Country	:	US
Telephone Number	:	773-376-9400
Fax Number	:

Authorized Official
Title or Position	:	BILLING/PROVIDER SERVICES MGR
Name	:	ANGEL MCREYNOLDS
Credential	:
Telephone Number	:	773-705-2260

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	08/06/2013

Similar Medicare Providers

1417184540 — MOTHER'S TOUCH HOME HEALTH, INC.
Practice Location Address:

4852 S ASHLAND AVE , SUITE 3
CHICAGO, IL
60609-4233

Practice Phone: 773-801-0278
Practice Fax: 773-801-0240

1417257247 — MS. DANIELLE HANNIGAN APN
Practice Location Address:

4802 S ASHLAND AVE
CHICAGO, IL
60609-4233

Practice Phone: 773-376-9400
Practice Fax:

1275026171 — DR. CHRISTOPHER RODARTE MD
Practice Location Address:

4802 S ASHLAND AVE
CHICAGO, IL
60609-4233

Practice Phone: 773-376-9400
Practice Fax:

1811032758 — DR. MARK SANDRIK D.D.S.
Practice Location Address:

6234 S NARRAGANSETT AVE
CHICAGO, IL
60638-4233

Practice Phone: 773-586-3456
Practice Fax: 773-586-1277

1730224684 — DR. JOHN SANDRIK D.D.S.
Practice Location Address:

6234 S NARRAGANSETT AVE
CHICAGO, IL
60638-4233

Practice Phone: 773-586-3456
Practice Fax: 773-586-1277

1801001177 — SANDRIK DENTAL LTD.
Practice Location Address:

6234 S NARRAGANSETT AVE
CHICAGO, IL
60638-4233

Practice Phone: 773-586-3456
Practice Fax: 773-586-1277

Directions to “FRIEND 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.