1104134915 MAMANATANDATHERNIZAMPC.

Community Health Clinic/Center

Active

Basic Information

Organization Name
MAMANATANDATHERNIZAMPC.
Enumeration Date
September 15, 2010
Last Update
September 15, 2010
Authorized Official
DR. MAIMANAT NIZAM MD.
PHYSICIAN
Phone: (630) 654-1021

Practice Location

Address
2001 W.69THST.
CHICAGO, IL 60636
Phone
(773) 778-2355
Fax
(773) 788-2355

Mailing Address

Address
401 TAMERTON PKWY
BURR RIDGE, IL 605276347
Phone
(630) 654-1021
Fax
(773) 788-2355

Specialties & Taxonomies

Specialty Code Classification License State Primary
Community Health Clinic/Center
Community Health
261QC1500X Clinic/Center 036-06-9635 IL Primary

Frequently Asked Questions

What is MAMANATANDATHERNIZAMPC.'s NPI number?
MAMANATANDATHERNIZAMPC.'s NPI number is 1104134915.
Which doctor has NPI number 1104134915?
The doctor with NPI number 1104134915 is MAMANATANDATHERNIZAMPC..
What is MAMANATANDATHERNIZAMPC.'s practice address?
MAMANATANDATHERNIZAMPC.'s practice address is 2001 W.69THST., CHICAGO, IL, 60636.
Which doctor practices at 2001 W.69THST., CHICAGO, IL, 60636?
MAMANATANDATHERNIZAMPC. practices at 2001 W.69THST., CHICAGO, IL, 60636.
What is MAMANATANDATHERNIZAMPC.'s mailing address?
MAMANATANDATHERNIZAMPC.'s mailing address is 401 TAMERTON PKWY, BURR RIDGE, IL, 605276347.
What is MAMANATANDATHERNIZAMPC.'s phone number?
MAMANATANDATHERNIZAMPC.'s phone number is (773) 778-2355.
Who is (773) 778-2355?
(773) 778-2355 is the phone number for MAMANATANDATHERNIZAMPC..
What is MAMANATANDATHERNIZAMPC.'s specialty?
MAMANATANDATHERNIZAMPC.'s specialty is Community Health Clinic/Center.
What type of doctor is MAMANATANDATHERNIZAMPC.?
MAMANATANDATHERNIZAMPC. is a Community Health Clinic/Center.
Is MAMANATANDATHERNIZAMPC. a Community Health?
Yes, MAMANATANDATHERNIZAMPC. is a Community Health.
Is MAMANATANDATHERNIZAMPC. still practicing?
Yes, MAMANATANDATHERNIZAMPC. is currently practicing.
Is MAMANATANDATHERNIZAMPC. accepting new patients?
MAMANATANDATHERNIZAMPC. may be accepting new patients. Please call their office at (773) 778-2355 to inquire about availability.
Is NPI 1104134915 still active?
Yes, NPI 1104134915 is currently active.
Where does MAMANATANDATHERNIZAMPC. practice?
MAMANATANDATHERNIZAMPC. practices in CHICAGO, IL.