Provider Demographics
NPI:1528323888
Name:AMERICAN ACCORD FOOD CORP
Entity type:Organization
Organization Name:AMERICAN ACCORD FOOD CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-768-6555
Mailing Address - Street 1:PO BOX 497182
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-0102
Mailing Address - Country:US
Mailing Address - Phone:773-768-6555
Mailing Address - Fax:773-375-8041
Practice Address - Street 1:9485 S EWING AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-4643
Practice Address - Country:US
Practice Address - Phone:773-768-6555
Practice Address - Fax:773-375-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherFEIN