Provider Demographics
NPI:1861898835
Name:FIRST AVAILABLE MEDICAL STAFFING INC
Entity type:Organization
Organization Name:FIRST AVAILABLE MEDICAL STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGBINOGHODUA
Authorized Official - Middle Name:J
Authorized Official - Last Name:EDOMWONYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-784-2855
Mailing Address - Street 1:4552 1/2 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5689
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4552 1/2 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5689
Practice Address - Country:US
Practice Address - Phone:773-784-2855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care