Provider Demographics
NPI:1114580586
Name:CHILDREN AND FAMILY COMPREHENSIVE HEALTH OUTREACH, INC.
Entity Type:Organization
Organization Name:CHILDREN AND FAMILY COMPREHENSIVE HEALTH OUTREACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-757-0950
Mailing Address - Street 1:7401 BLACKBURN AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-4144
Mailing Address - Country:US
Mailing Address - Phone:312-757-0950
Mailing Address - Fax:
Practice Address - Street 1:7401 BLACKBURN AVE APT 202
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-4144
Practice Address - Country:US
Practice Address - Phone:312-757-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-20
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable