Organization
INTEGRATED MEDICAL AND COMMUNITY HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARIELLA MENIA (PRESIDENT)
(818) 930-1188
Entity
Organization
Contact information
Practice address
5 POTTER LN, BARRINGTON, IL 60010-5313
(818) 930-1188
Mailing address
10193 LONGORIA ST, LAS VEGAS, NV 89178-8047
(818) 930-1188
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
70370328
IL
261QH0100X
Health Service Clinic/Center
70370328
IL
261QP1100X
Podiatric Clinic/Center
70370328
IL
261QP2300X
Primary Care Clinic/Center
Primary
70370328
IL
261QU0200X
Urgent Care Clinic/Center
70370328
IL
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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