Provider Demographics
NPI:1326810490
Name:SHE LEADS ASSYRIA 1
Entity Type:Organization
Organization Name:SHE LEADS ASSYRIA 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ATORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-267-3425
Mailing Address - Street 1:1002 GROVE DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-4473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1002 GROVE DR APT 2B
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-4473
Practice Address - Country:US
Practice Address - Phone:630-267-3425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable