Provider Demographics
NPI:1184051716
Name:ELDERLY MUSLIM CARE ACTION NETWORK
Entity type:Organization
Organization Name:ELDERLY MUSLIM CARE ACTION NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAYED
Authorized Official - Middle Name:AZIZ
Authorized Official - Last Name:QURAISHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-701-7766
Mailing Address - Street 1:1260 IROQUOIS AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1689
Mailing Address - Country:US
Mailing Address - Phone:630-701-7755
Mailing Address - Fax:630-701-7766
Practice Address - Street 1:1260 IROQUOIS AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1689
Practice Address - Country:US
Practice Address - Phone:630-701-7755
Practice Address - Fax:630-701-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care