| NPI | 1215631205 |
|---|---|
| Doing Business As | ALAGA HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL MATA Administrator 708-248-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care |
| 261Q00000X Clinic/Center | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-01-31 |