Provider Demographics
NPI:1255514303
Name:AMERICA'S DISABLED INC
Entity type:Organization
Organization Name:AMERICA'S DISABLED INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-774-7300
Mailing Address - Street 1:5906 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5420
Mailing Address - Country:US
Mailing Address - Phone:773-774-7300
Mailing Address - Fax:773-774-7313
Practice Address - Street 1:5906 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5420
Practice Address - Country:US
Practice Address - Phone:773-774-7300
Practice Address - Fax:773-774-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty