HAMDARD HEALTH ALLIANCE NPI 1356772834

NPI Information

NPI: 1356772834
Provider Name: HAMDARD HEALTH ALLIANCE

Former Legal Business Name: HAMDARD CENTER FOR HEALTH AND HUMAN SERVICES, NFP

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1542 W DEVON AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 465-4600
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HAMDARD HEALTH ALLIANCE is a federally qualified health center (fqhc) clinic center in Chicago, IL. HAMDARD HEALTH ALLIANCE NPI is 1356772834. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hamdard Center For Health And Human Services, Nfp.

The provider's business location address is:

1542 W DEVON AVE
CHICAGO, IL
ZIP 60660-344
Phone: (773) 465-4600
Fax: (773) 465-4666

The provider's authorized official is Shawn S Bailey .
The authorized official title is Finance Administration Manager and has the following contact phone number (630) 835-1430.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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