Provider Demographics
NPI:1912497157
Name:MOUNT CARMEL SERVICES, INC
Entity Type:Organization
Organization Name:MOUNT CARMEL SERVICES, INC
Other - Org Name:MOUNT CARMER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERVAT
Authorized Official - Middle Name:ABBAS
Authorized Official - Last Name:AL SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-623-9737
Mailing Address - Street 1:15106 CENTRAL AVE APT B
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-2158
Mailing Address - Country:US
Mailing Address - Phone:708-623-9737
Mailing Address - Fax:
Practice Address - Street 1:15106 CENTRAL AVE APT B
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-2158
Practice Address - Country:US
Practice Address - Phone:708-623-9737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency