Organization
IARI INCORPORATED
Active
Organization
IARI INCORPORATED
Active
Other names
SULLIVAN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIF MOHAMMED (BILLING MANAGER)
(773) 638-2051
Entity
Organization
Contact information
Practice address
15 S KEDZIE AVE, CHICAGO, IL 60612-2705
(773) 638-2051
Mailing address
15 S KEDZIE AVE, CHICAGO, IL 60612-2705
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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