FRIEND FAMILY HEALTH CENTER, INC – Federally Qualified Health Center (FQHC), NPI 1457330870

FRIEND FAMILY HEALTH CENTER, INC is a healthcare provider. based in Chicago, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for FRIEND FAMILY HEALTH CENTER, INC is 1457330870

Main info

Organization
Name
FRIEND FAMILY HEALTH CENTER, INC
NPI
1457330870
Phone
(773) 702-2193
Address
5843 S. WESTERN AVENUE
Authorized Official
SABRINA MODRE CFO
Enumeration Date
13 January 2006
Last Update Date
1 October 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for FRIEND FAMILY HEALTH CENTER, INC

  • 5843, South Western Avenue, Gage Park, Chicago, Lake Township, Cook County, Illinois, 60636, United States

    CHICAGO, IL 60636

    Phone: (773) 702-2193

    Fax: (773) 702-4356

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (84 days away).

Enrollment records

1

Earliest due date

2026-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040625000215OFederally Qualified Health Center (Fqhc)IL2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60636)

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Reviews

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Frequently asked questions

Does FRIEND FAMILY HEALTH CENTER, INC have a public NPI I can cite?
Public records show FRIEND FAMILY HEALTH CENTER, INC under NPI 1457330870.
Is FRIEND FAMILY HEALTH CENTER, INC currently accepting referrals based on NPI status?
Registry metadata lists FRIEND FAMILY HEALTH CENTER, INC as active.
Which specialty label fits FRIEND FAMILY HEALTH CENTER, INC?
NPPES ties FRIEND FAMILY HEALTH CENTER, INC to Federally Qualified Health Center (FQHC) in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FRIEND FAMILY HEALTH CENTER, INC?
FRIEND FAMILY HEALTH CENTER, INC is associated with Chicago, Illinois in the same public data insurers reference.
Can I export FRIEND FAMILY HEALTH CENTER, INC's record?
You can download the official NPPES record; we summarize key fields for readability.

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