SALAAM COMMUNITY WELLNESS CENTER
Internal Medicine (Addiction Medicine)

Address: 613 E 67th St, Chicago, IL 60637-4122

SALAAM COMMUNITY WELLNESS CENTER (NPI# 1376127225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376127225
Entity Type Organization
Organization Name SALAAM COMMUNITY WELLNESS CENTER
Practice Address 613 E 67th St
Chicago
IL 60637-4122
Practice Telephone 7732073540
Mailing Address 18613 Jana Patrice Dr
Pflugerville
TX 78660-7584
Mailing Telephone 7733304115
Certification Date 2021-05-07
Enumeration Date 2021-05-07
Last Update Date 2021-05-07
Authorized Official Telephone 7733304115
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians

Office Location

Street Address 613 E 67TH ST
City CHICAGO
State IL
Zip Code 60637-4122

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1194235283 Melissa Ann Arangoa · Melissa Ann Grzybowski Registered Nurse 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 2017-10-03
1467983965 Allison Elizabeth Lapins Internal Medicine 5841 S Maryland Ave Rm S231, Chicago, IL 60637 2017-03-26
1104358852 Kelli Pointer Student in an Organized Health Care Education/Training Program 5841 S Maryland Ave # Mc9006, Chicago, IL 60637 2017-03-31
1366003501 Valerie Silas Case Management 6330 S King Drive, Chicago, IL 60637 2019-06-27
1689249294 Carly Dearth Nurse Practitioner - Family 5656 S Maryland Ave, Chicago, IL 60637 2021-05-25
1558854695 Rasidat Adeduntan Internal Medicine 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 2018-06-13
1821573072 Ugochinyere Ohaja Registered Nurse - Emergency 5656 South Maryland Avenue, Chicago, IL 60637 2018-10-03
1053899138 Won Hee Oh Physician Assistant - Surgical Technologist 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1386263234 Pooja Ramnani Pharmacist - Pharmacotherapy 5841 S Maryland Ace, Chicago, IL 60637 2020-04-10
1730760026 Bruk Mekonen Student in an Organized Health Care Education/Training Program 5841 S Maryland Ave Mc1052, Chicago, IL 60637 2021-04-19
Find all in zip 60637

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184189672 Calumet Counseling and Dui Services,Inc Internal Medicine - Addiction Medicine 1010 W 95th St, Chicago, IL 60643-1522 2019-02-08
1942585468 Ngu Md. Wellness Ltd. Internal Medicine - Addiction Medicine 400 E Randolph St, Apt 2711, Chicago, IL 60601-7329 2011-10-15
1184934036 Mary S Wenzel Internal Medicine - Addiction Medicine 3730 N Lake Shore Dr, Chicago, IL 60613-4236 2010-10-13
1194824797 Charles S Gilbert Jr Internal Medicine - Addiction Medicine 2600 S Michigan Ave, Suite 410, Chicago, IL 60616-2857 2006-09-21
1598879223 Michael D Baldinger Internal Medicine - Addiction Medicine 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 2006-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679888341 Mysore N Shivaram Md Sc Internal Medicine - Addiction Medicine 6901 Cermak Rd, Berwyn, IL 60402-2160 2010-08-18
1033343132 Richard Joseph Wallyn Internal Medicine - Addiction Medicine 1300 Brassie Ave., Flossmoor, IL 60422-1812 2009-05-05
1477752160 Arthur Hoffman Internal Medicine - Addiction Medicine 2652 Broadway Ave, Evanston, IL 60201 2007-07-13
1487798955 Clinical Associates In Medicine, LLC Internal Medicine - Addiction Medicine 801 N Larkin Ave Ste 101, Joliet, IL 60435 2007-02-17
1659342665 Albert C Tanlim Internal Medicine - Addiction Medicine 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 2006-01-28
1407395346 Bhs Physician Services of Illinois PC Internal Medicine - Addiction Medicine 1237 E 1600 North Rd, Gilman, IL 60938-6112 2017-02-13
1588929525 Opioid Addiction Recovery Services PC Internal Medicine - Addiction Medicine 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 2012-07-05
1235153677 Kirk Moberg Internal Medicine - Addiction Medicine 602 W University Avenue, Administration, Urbana, IL 61801 2006-07-27
1245262617 Gawtham Gutta Internal Medicine - Addiction Medicine 2100 Glenwood Ave, Joliet, IL 60435-5487 2006-07-07
1053341487 David Kushner Internal Medicine - Addiction Medicine 1775 Dempster St, Department of Internal Medicine, Park Ridge, IL 60068-1143 2006-07-03
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Zip Code 60637

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.