MAMANATANDATHERNIZAMPC. is a community health clinic center in Chicago, IL. MAMANATANDATHERNIZAMPC. NPI is 1104134915. The provider is registered as an organization entity type.
The provider's business location address is:
2001 W.69THST.
CHICAGO, IL
ZIP 60636
Phone: (773) 778-2355
Fax: (773) 788-2355
The provider's authorized official is Maimanat Nizam .
The authorized official title is Physician and has the following contact phone number (630) 654-1021.
The enumeration date for this NPI number is 9/15/2010 and was last updated on 9/15/2010.