Provider Demographics
NPI:1891270559
Name:AFFINITY HEALTH CORP.
Entity Type:Organization
Organization Name:AFFINITY HEALTH CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:H
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-491-1901
Mailing Address - Street 1:2425 W 22ND ST STE 209
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4655
Mailing Address - Country:US
Mailing Address - Phone:630-656-2498
Mailing Address - Fax:
Practice Address - Street 1:2425 W 22ND ST STE 209
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4655
Practice Address - Country:US
Practice Address - Phone:630-656-2498
Practice Address - Fax:630-869-1809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch