Organization
DEVON COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ABDUL SALAM (PRESIDENT)
(773) 524-1984
Entity
Organization
Contact information
Practice address
6228 N CLAREMONT AVE APT 2, CHICAGO, IL 60659-2968
(773) 524-1984
Mailing address
6228 N CLAREMONT AVE APT 2, CHICAGO, IL 60659-2968
(773) 524-1984
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/12/2020
Last updated
06/13/2022
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