Provider Demographics
NPI:1497496756
Name:HALLMAN CARE LLC
Entity type:Organization
Organization Name:HALLMAN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NASEEMULLAH A
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-937-7784
Mailing Address - Street 1:1213 BUTTERFIELD RD FL 2
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1032
Mailing Address - Country:US
Mailing Address - Phone:630-791-7050
Mailing Address - Fax:630-791-7050
Practice Address - Street 1:1213 BUTTERFIELD RD FL 2
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1032
Practice Address - Country:US
Practice Address - Phone:630-791-7050
Practice Address - Fax:630-791-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory