# IARI INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SULLIVAN MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205175965
- **Authorized official:** MR. ARIF MOHAMMED (BILLING MANAGER)
- **Authorized official phone:** (773) 638-2051

## Contact information

- **Practice address:** 15 S KEDZIE AVE, CHICAGO, IL 60612-2705
- **Practice address phone:** (773) 638-2051
- **Mailing address:** 15 S KEDZIE AVE, CHICAGO, IL 60612-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2013
- **Last updated:** 01/31/2013