Provider Demographics
NPI:1912454430
Name:WORRY FREE COMMUNITY
Entity Type:Organization
Organization Name:WORRY FREE COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FATEMA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MIRZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-868-3639
Mailing Address - Street 1:1701 BLOOMINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-2130
Mailing Address - Country:US
Mailing Address - Phone:630-868-3639
Mailing Address - Fax:866-884-0869
Practice Address - Street 1:1701 BLOOMINGDALE RD
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-2130
Practice Address - Country:US
Practice Address - Phone:630-868-3639
Practice Address - Fax:866-884-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service