NPI 1063887107

Community Development Enterprises, INC

Organisation Health Maintenance Organization Country Club Hills, IL

Practice location

Address: 4740 183rd St, Country Club Hills, IL 60478-5212
Phone: (708) 769-2214
Mailing address: 79 E 16th St, Chicago, IL 60616-5520

Authorised official

Name: Patricia Washington
Title: Ceo
Phone: (312) 842-1229

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 4089-1003 (IL)

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Registry record

NPI: 1063887107
Entity type: Organization
NPI issued: 1 Dec 2015
Record last updated: 1 Dec 2015

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.