Erie Johnson Health Center

NPI 1043407547 - Clinic/Center - 261QF0400X

NPI Details
NPI 1043407547
Enumeration Date 09/28/2007
Last Updated 11/25/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEE LEE
Position PRESIDENT AND CEO
Phone (312) 666-3494
Fax (312) 666-0610
Practice Location
1504 S ALBANY
CHICAGO IL, 60623-2209, US
Phone (312) 666-3494
Fax (312) 666-0610
Business Location
1701 W SUPERIOR
CHICAGO IL, 60622-5646, US
Phone (312) 666-3494
Fax (312) 666-0610
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
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According to our database, Erie Johnson Health Center NPI is 1043407547, taxonomy code is 261QF0400X Erie Johnson Health Center physically located at 1504 S Albany, Chicago IL, 60623-2209. NPI Number 1033115704 has the healthcare provider type.

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1043407547 NPI number is provided on an as is basis without warranty of any kind. 1043407547 is maintained by the National Plan & Provider Enumeration System. The contents of Erie Johnson Health Center are for informational purposes only.