HAMDARD CENTER FOR HEALTH AND HUMAN SERVICES, NFP (NPI# 1356772834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356772834 |
| Entity Type | Organization |
| Organization Name | HAMDARD CENTER FOR HEALTH AND HUMAN SERVICES, NFP |
| Other Organization Name | HAMDARD CENTER |
| Practice Address |
1542 W Devon Ave Chicago IL 60660-1344 |
| Mailing Address |
228 E Lake St Addison IL 60101-2889 |
| Practice Telephone | 7734654600 |
| Practice Fax Number | 7734654666 |
| Mailing Telephone | 6308351430 |
| Mailing Fax Number | 6308351433 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2016-03-09 |
| Authorized Official Name | DR. MOHAMMAD HAMID (CEO) |
| Authorized Official Telephone | 6308351430 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hamdard Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875053 | Hamdard Center for Health and Human Services, Nfp | Clinic/Center | 228 E Lake St, Addison, IL 60101-2889 | 2005-07-19 |
| Street Address |
1542 W DEVON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649223595 | Ghazala Fayyaz | Psychiatry & Neurology | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2006-05-19 |
| 1124631874 | Shana S Patel | Registered Nurse | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2020-08-24 |
| 1063035020 | Sungun Malhotra | Counselor | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2020-05-26 |
| 1013558196 | Janet Marie Vidales | Social Worker | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2019-09-30 |
| 1356860993 | Phillip Hallinger | Counselor | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2017-09-14 |
| 1285186247 | Ashley Patrice Fargnoli | Counselor | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2016-10-25 |
| 1952704538 | Selma Kulasic | Pharmacist | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2014-09-26 |
| 1891120101 | Diana Guzman | Registered Nurse | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2013-09-05 |
| 1518307172 | Nazmeem Sultana | Registered Nurse | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2013-06-27 |
| 1295057651 | Andreas Iskos | Pharmacist | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2010-02-25 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.