NPI:
1013629146
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:
4159 MAIN ST
SKOKIE, IL
ZIP 60076
Phone:
(773) 465-4600
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HAMDARD HEALTH ALLIANCE is a federally qualified health center (fqhc) clinic center in Skokie, IL. HAMDARD HEALTH ALLIANCE NPI is 1013629146. 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:
4159 MAIN ST
SKOKIE, IL
ZIP 60076-780
Phone: (773) 465-4600
The provider's authorized official is Shawn 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 12/20/2022 and was last updated on 12/26/2023.