Provider Demographics
NPI:1669247524
Name:COMMUNITY WELLNESS AND HEALTH CENTER NFP
Entity type:Organization
Organization Name:COMMUNITY WELLNESS AND HEALTH CENTER NFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NAUMAN
Authorized Official - Middle Name:KHAN
Authorized Official - Last Name:AZEEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-754-7595
Mailing Address - Street 1:12 DON CARLOS DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-6703
Mailing Address - Country:US
Mailing Address - Phone:773-754-7595
Mailing Address - Fax:
Practice Address - Street 1:12 DON CARLOS DR
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-6703
Practice Address - Country:US
Practice Address - Phone:773-754-7595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services