Aigas Foundation Inc
Organization Active NPI Family Medicine Physician · Addison, IL
NPI 1619687878 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1619687878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AIGAS FOUNDATION INC
- Practice address
- 211 E Lake St Ste 1C
Addison, IL 60101-2877 - Phone
- (773) 817-5928
- NPI assigned
- Nov 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Wajahatuddin Ahmed Macci
- Title
- Managing Director
- Phone
- (773) 817-5928
National Provider Directory
Locations
211 E Lake St
Ste 1C
Addison, IL 60101
Phone (773) 817-5928
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| School Counselor |
101YS0200X | |||
| Psychologist |
103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Adult Development & Aging Psychologist |
103TA0700X | |||
| Cognitive & Behavioral Psychologist |
103TB0200X | |||
| Clinical Psychologist |
103TC0700X | |||
| Counseling Psychologist |
103TC1900X | |||
| Clinical Child & Adolescent Psychologist |
103TC2200X | |||
| Exercise & Sports Psychologist |
103TE1100X | |||
| Family Psychologist |
103TF0000X | |||
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
211 E Lake St Ste 1C
Addison, IL 60101-2877
Mailing address
343 N Wood Dale Rd Ste 201a
Wood Dale, IL 60191-1578
Phone (773) 817-5928
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.