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NPI Code Detail

MEDICARE: ALMA HEALTHCARE INC

MEDICARE: ALMA HEALTHCARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036107789IL

General Provider Information

NPI Number : 1205234150
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALMA HEALTHCARE INC
Provider Business Mailing Address
First Line : 1753 W CHICAGO AVE
Second Line : SUITE 1
City : CHICAGO
State : IL
Zip : 60622-5009
Country : US
Telephone Number : 773-672-2559
Fax Number : 773-672-2549
Provider Business Practice Location Address
First Line : 1753 W CHICAGO AVE
Second Line : SUITE 1
City : CHICAGO
State : IL
Zip : 60622-5009
Country : US
Telephone Number : 773-672-2559
Fax Number : 773-672-2549
Authorized Official
Title or Position : OWNER
Name : ALMAS IBRAYEV
Credential :
Telephone Number : 773-672-2559
Provider Enumeration Date : 12/09/2014
Last Update Date : 12/09/2014

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Directions to “ALMA HEALTHCARE INC ” Practice Location

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