Provider Demographics
NPI:1124187125
Name:ESPERANZA HEALTH CENTERS
Entity Type:Organization
Organization Name:ESPERANZA HEALTH CENTERS
Other - Org Name:ESPERANZA CALIFORNIA
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPREITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-640-5785
Mailing Address - Street 1:2001 S. CALIFORNIA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-2405
Mailing Address - Country:US
Mailing Address - Phone:773-584-6132
Mailing Address - Fax:773-376-8845
Practice Address - Street 1:2001 S. CALIFORNIA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-2405
Practice Address - Country:US
Practice Address - Phone:773-584-1635
Practice Address - Fax:773-376-8845
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESPERANZA HEALTH CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-06
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========002Medicaid
IL=========002Medicaid
IL141020Medicare ID - Type UnspecifiedNGS