NPI 1205302965
North Chicago Lice Clinic INC
Practice location
- Address
- 6308 N Milwaukee Ave, Chicago, IL 60646-3711
- Phone
- (773) 430-5679
Authorised official
- Name
- Sami Imsaih
- Title
- Owner
- Phone
- (773) 620-7961
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1205302965
- Entity type
- Organization
- NPI issued
- 22 Oct 2018
- Record last updated
- 22 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.