Provider Demographics
NPI:1366156630
Name:ARAB AMERICAN COMMUNITY CENTER
Entity type:Organization
Organization Name:ARAB AMERICAN COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAMIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-871-3131
Mailing Address - Street 1:5352 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2316
Mailing Address - Country:US
Mailing Address - Phone:312-871-3131
Mailing Address - Fax:773-353-2406
Practice Address - Street 1:5352 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2316
Practice Address - Country:US
Practice Address - Phone:312-871-3131
Practice Address - Fax:773-353-2406
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARAB AMERICAN COMMUNITY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health