Provider Demographics
NPI:1417715111
Name:ALIA AMMAR DBA AMMAR STATISTICAL & RESEARCH CONSULTING SERVICES
Entity Type:Organization
Organization Name:ALIA AMMAR DBA AMMAR STATISTICAL & RESEARCH CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-786-5366
Mailing Address - Street 1:PO BOX 2257
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-0357
Mailing Address - Country:US
Mailing Address - Phone:847-786-5366
Mailing Address - Fax:
Practice Address - Street 1:22285 N PEPPER RD STE 401
Practice Address - Street 2:
Practice Address - City:LAKE BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2542
Practice Address - Country:US
Practice Address - Phone:847-786-5366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty