# I AM MAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285477364
- **Authorized official:** MR. ROBERT H MARSHALL JR. (CEO)
- **Authorized official phone:** (708) 548-9209

## Contact information

- **Practice address:** 1332 GREENFIELD AVE, WAUKEGAN, IL 60085-7813
- **Practice address phone:** (708) 548-9209
- **Mailing address:** PO BOX 973, NORTH CHICAGO, IL 60064-0973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 171000000X | Military Health Care Provider | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024