Provider Demographics
NPI:1629685615
Name:FIRST CONNECT HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:FIRST CONNECT HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-359-1415
Mailing Address - Street 1:1355 REMINGTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4818
Mailing Address - Country:US
Mailing Address - Phone:773-359-1415
Mailing Address - Fax:773-302-1649
Practice Address - Street 1:1355 REMINGTON RD STE B
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4818
Practice Address - Country:US
Practice Address - Phone:773-359-1415
Practice Address - Fax:773-302-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty