Organization
ADVANCED MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED M MALAS D.C. (CHIROPRACTOR)
(773) 276-3333
Entity
Organization
Contact information
Practice address
4009 W FULLERTON AVE, CHICAGO, IL 60639-2103
(773) 276-3333
(773) 276-0333
Mailing address
4009 W. FULLERTON AVENUE, CHICAGO, IL 60639-2103
(773) 276-0222
(773) 276-0333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007731
IL
Other
Enumeration date
10/10/2006
Last updated
03/24/2011
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