AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC is a mental health (including community mental health center) clinic center in Chicago, IL. AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC NPI is 1396194692. The provider is registered as an organization entity type.
The provider's business location address is:
4326 W MONTROSE AVE
CHICAGO, IL
ZIP 60641-016
Phone: (773) 883-9100
Fax: (773) 883-0005
The provider's authorized official is Roxanne M Lavallie-unabia .
The authorized official title is Executive Director and has the following contact phone number (773) 883-9100.
The CLIA number assigned to this NPI record is 14D1002440 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/7/2016 and was last updated on 12/31/2020.