# ALPHA NB LLC

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

## Provider details

- **NPI number:** 1790432144
- **Authorized official:** HASSAN PASHA (CEO)
- **Authorized official phone:** (312) 721-7019

## Contact information

- **Practice address:** 2174 GLADSTONE CT STE C, GLENDALE HEIGHTS, IL 60139-1518
- **Practice address phone:** (312) 721-9739
- **Mailing address:** 7251 N CAMPBELL AVE UNIT B, CHICAGO, IL 60645-1423
- **Mailing address phone:** (312) 721-7019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2022
- **Last updated:** 03/06/2022