Provider Demographics
NPI:1124402466
Name:AMER I ALHUSSAINI MD SC
Entity Type:Organization
Organization Name:AMER I ALHUSSAINI MD SC
Other - Org Name:IMMEDIATE CARE CENTER OF WESTMONT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHUSSAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-433-8232
Mailing Address - Street 1:29 N CASS AVE
Mailing Address - Street 2:STE A
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1669
Mailing Address - Country:US
Mailing Address - Phone:630-325-6825
Mailing Address - Fax:
Practice Address - Street 1:29 N CASS AVE
Practice Address - Street 2:STE A
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1669
Practice Address - Country:US
Practice Address - Phone:630-324-6825
Practice Address - Fax:630-324-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care