Organization
ASSYRIAN UNIVERSAL ALLIANCE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY GALE DAKOF (EXECUTIVE DIRECTOR)
(773) 863-3569
Entity
Organization
Contact information
Practice address
4343 W. TOUHY AVE., LINCOLNWOOD, IL 60712-1908
(773) 274-9262
(224) 251-7620
Mailing address
4343 W. TOUHY AVE., LINCOLNWOOD, IL 60712-1908
(773) 274-9262
(224) 251-7620
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
02/03/2016
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