Provider Demographics
NPI:1164016184
Name:ALHILLO, FORKAN
Entity Type:Individual
Prefix:
First Name:FORKAN
Middle Name:
Last Name:ALHILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 PARKLAND ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2526
Mailing Address - Country:US
Mailing Address - Phone:313-443-2189
Mailing Address - Fax:
Practice Address - Street 1:6701 PARKLAND ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2526
Practice Address - Country:US
Practice Address - Phone:313-443-2189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator