North Chicago Lice Clinic Inc

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

NORTH CHICAGO LICE CLINIC INC

Practice address

6308 N Milwaukee Ave
Chicago, IL 60646-3711

Phone

(773) 430-5679

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sami Imsaih

Title

Owner

Phone

(773) 620-7961

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1205302965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463711",
            "telephone_number": "773-430-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHICAGO LICE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "IMSAIH",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-620-7961"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Chicago, IL
• Providers in Chicago, IL by specialty
• Other Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.