NPI 1013326586

Beloved Community Family Wellness Ctr

Organisation Health Maintenance Organization Chicago, IL

Practice location

Address: 6821 S Halsted St, Chicago, IL 60621-1833
Phone: (773) 651-3629
Fax: (773) 322-1599

Authorised official

Name: Margie Johnson
Title: Executive Director
Phone: (773) 651-3629

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Illinois →

Registry record

NPI: 1013326586
Entity type: Organization
NPI issued: 8 Aug 2014
Record last updated: 8 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.