| Chikare Health System Pc | |
|
915 W Chicago Ave East Chicago IN 46312-3308 | |
| (219) 397-6000 | |
| Not Available |
| Full Name | Chikare Health System Pc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 915 W Chicago Ave, East Chicago, Indiana |
| Authorized Official Name and Position | Kanayo Odeluga (MD/OWNER) |
| Authorized Official Contact | 2193976000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chikare Health System Pc 915 W Chicago Ave East Chicago IN 46312-3308 Ph: (219) 397-6000 | Chikare Health System Pc 915 W Chicago Ave East Chicago IN 46312-3308 Ph: (219) 397-6000 |
| NPI Number | 1285298067 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 01/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285298067 | NPI | - | NPPES |
| 01047947A | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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