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Organization

AIGAS FOUNDATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAJAHATUDDIN AHMED MACCI (MANAGING DIRECTOR)
(773) 817-5928
Entity
Organization

Contact information

Practice address
211 E LAKE ST STE 1C, ADDISON, IL 60101-2877
(773) 817-5928
Mailing address
343 N WOOD DALE RD STE 201A, WOOD DALE, IL 60191-1578
(773) 817-5928

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
101YS0200X
School Counselor
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TE1100X
Exercise & Sports Psychologist
103TF0000X
Family Psychologist
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
11/29/2022
Last updated
08/28/2023
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