Provider Demographics
NPI:1336593714
Name:SMCCS, INC.
Entity Type:Organization
Organization Name:SMCCS, INC.
Other - Org Name:SPECIALIZED MAX CARE CLINICAL SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:FATIMA
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-550-7252
Mailing Address - Street 1:490 W LAKE ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3551
Mailing Address - Country:US
Mailing Address - Phone:630-550-7252
Mailing Address - Fax:
Practice Address - Street 1:490 W LAKE ST UNIT 3
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3551
Practice Address - Country:US
Practice Address - Phone:630-550-7252
Practice Address - Fax:866-656-1698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty