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Organization

I AM MAN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT H MARSHALL JR. (CEO)
(708) 548-9209
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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