Organization
INTERNATIONAL MISSIONS ALLIANCE
Active
Other names
Community Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETRU AMAREI (PRESIDENT)
(773) 252-5115
Entity
Organization
Contact information
Practice address
2880 N MILWAUKEE AVE, CHICAGO, IL 60618-7413
(773) 252-5115
Mailing address
2880 N MILWAUKEE AVE, CHICAGO, IL 60618-7413
(773) 252-5115
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152W00000X
OPTICAL DISPENSING (TAXONOMY)
IL
Enumeration date
07/02/2008
Last updated
07/02/2008
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