Provider Demographics
NPI:1548921240
Name:AF INFLUX INC
Entity type:Organization
Organization Name:AF INFLUX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOIZ
Authorized Official - Middle Name:FAIYAZ
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-599-0999
Mailing Address - Street 1:1648 W NORTH AVE STE FRONT
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-2329
Mailing Address - Country:US
Mailing Address - Phone:773-599-0999
Mailing Address - Fax:
Practice Address - Street 1:1648 W NORTH AVE STE FRONT
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2329
Practice Address - Country:US
Practice Address - Phone:773-599-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center