NPI: 1467685669
Provider Name: ASIAN HUMAN SERVICES OF CHICAGO, INC.
Doing Business As: ASIAN HUMAN SERVICES, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
CLIA Number: 14D1065019
Address:
1643 W BRYN MAWR AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 433-3530
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ASIAN HUMAN SERVICES OF CHICAGO, INC. is a mental health (including community mental health center) clinic center in Chicago, IL. ASIAN HUMAN SERVICES OF CHICAGO, INC. NPI is 1467685669. The provider is registered as an organization entity type.
The provider Is Doing Business As Asian Human Services, Inc..
The provider's business location address is:
1643 W BRYN MAWR AVE
CHICAGO, IL
ZIP 60660-106
Phone: (773) 433-3530
The provider's authorized official is Craig Maki .
The authorized official title is Chief Executive Officer and has the following contact phone number (773) 293-8468.
The CLIA number assigned to this NPI record is 14D1065019 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/3/2009 and was last updated on 1/11/2017.