Provider Demographics
NPI:1245549229
Name:NUWAY INCORPORATED
Entity type:Organization
Organization Name:NUWAY INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMEENAT
Authorized Official - Middle Name:A
Authorized Official - Last Name:AKEEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-646-1678
Mailing Address - Street 1:5040 190TH ST
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-5908
Mailing Address - Country:US
Mailing Address - Phone:708-646-1678
Mailing Address - Fax:
Practice Address - Street 1:3300 W 15TH AVE
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46404-1963
Practice Address - Country:US
Practice Address - Phone:219-944-4412
Practice Address - Fax:219-944-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization