Lawndale Christian Health Center

A Medicare group practice based in Chicago, IL: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 2264336346), with 182 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264336346The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
IL
Enrollments
8
Group size
124 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 1 place

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20031120000728 IL Part B Supplier - Clinic/Group Practice 1245289214
O20031218000043 IL Part A Provider - Federally Qualified Health Center (FQHC) 1154598282
O20050919001029 IL Part A Provider - Federally Qualified Health Center (FQHC) 1326215450
O20050919001075 IL Part A Provider - Federally Qualified Health Center (FQHC) 1245289214
O20141114001299 IL Part A Provider - Federally Qualified Health Center (FQHC) 1831590421
O20180507001811 IL Part B Supplier - Pharmacy 1679680235
O20090916000581 IL Part A Provider - Federally Qualified Health Center (FQHC) 1396986147
O20260306003216 IL MDPP Supplier - in-Person MDPP Supplier 1588537641

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 182

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (180) or whom Care Compare lists as members (124).

Sources for this page