Organization
CHICAGO COMMUNITY CLINIC
Active
Parent organization
WOMENS ASSOCIATION FORUM INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOMENS ASSOCIATION FORUM INC.
Authorized official
SAMEENA HUSSAIN (MANAGER)
(630) 234-0910
Entity
Organization
Contact information
Practice address
1606 LINDEN STREET, DES PLAINES, IL 60018
(773) 973-3396
Mailing address
1606 LINDEN STREET, DES PLAINES, IL 60018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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