NPI 1891536561

Lawndale Christian Health Center

Organisation PACE Provider Organization Chicago, IL

Practice location

Address: 3745 W Ogden Ave, Chicago, IL 60623-2427
Phone: (872) 588-3000
Fax: (872) 588-3001
Mailing address: Lawndale Christian Health Center 4696 Paysphere Circle, Chicago, IL 60674-0001

Authorised official

Name: Karen Renee Johnson
Title: Asst. Dir. of Patient Accounting
Phone: (872) 588-3062

Registered specialties (2)

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Illinois →

Federally Qualified Health Center (FQHC)

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1891536561
Entity type: Organization
NPI issued: 5 Jun 2024
Record last updated: 5 Jun 2024

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.