OrganizationFamily Christian Health CenterClinic/CenterAmbulatory Health Care FacilitiesPractice Address31 W 155th St, Harvey, IL 60426-3556(708) 596-5177PECOS EnrollmentBased on the most recent information from CMS, provider Family Christian Health Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1093855736Provider TypeOrganizationFull NameFamily Christian Health CenterSubpartNoEnumeration Date2/8/2007Last Updated6/15/2022Contact InformationPractice LocationPractice Address31 W 155th St, Harvey, IL 60426-3556Phone(708) 596-5177Fax(708) 339-3583Mailing LocationMailing Address31 W 155th St, Harvey, IL 60426-3556Phone(708) 596-5177Fax(708) 339-3583Authorized OfficialNameGreen, Lisa (Ceo)Phone(708) 596-5177Provider TaxonomiesCodeDescriptionLicenseCode261QF0400XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode1223G0001XDescriptionDentistDental ProvidersLicenseUnlisted IssuerCode207V00000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer