OrganizationActive
Beloved Community Family Wellness Center
NPI 1760408439 · Primary Care Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1760408439
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Margie Johnson, Executive Director(773) 651-3828
- License
- 261QP2300X (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6821 S Halsted St
Chicago, IL 60621-1833
Phone: (773) 765-1382
Fax: (773) 651-3648
Approximate (ZIP-level) locationGet directions
Mailing address
326 W 64th St
Chicago, IL 60621-3114
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2011-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.