SOUTH-EAST ASIA CENTER NPI 1972847820

NPI Information

NPI: 1972847820
Provider Name: SOUTH-EAST ASIA CENTER
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
5120 N BROADWAY ST
CHICAGO, IL
ZIP 60640
Phone: (773) 989-6927
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SOUTH-EAST ASIA CENTER is a voluntary or charitable in Chicago, IL. SOUTH-EAST ASIA CENTER NPI is 1972847820. The provider is registered as an organization entity type.

The provider's business location address is:

5120 N BROADWAY ST
CHICAGO, IL
ZIP 60640-004
Phone: (773) 989-6927
Fax: (888) 831-5471

The provider's authorized official is Fanny Wong .
The authorized official title is Executive Director and has the following contact phone number (773) 989-7433.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 4/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	253Z00000X	In Home Supportive Care		No
2	261QA0600X	Clinic/Center	Adult Day Care	No
3	347C00000X	Private Vehicle		No
4	251V00000X	Voluntary or Charitable		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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