Provider Demographics
NPI:1508103730
Name:ROMANIAN AMERICAN COMMUNITY CENTER
Entity Type:Organization
Organization Name:ROMANIAN AMERICAN COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:OLARU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-907-7800
Mailing Address - Street 1:3643 W IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-4143
Mailing Address - Country:US
Mailing Address - Phone:773-279-8880
Mailing Address - Fax:773-279-8027
Practice Address - Street 1:3643 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-4143
Practice Address - Country:US
Practice Address - Phone:773-279-8880
Practice Address - Fax:773-279-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty