CHINESE AMERICAN SERVICE LEAGUE INC. NPI 1649980947

NPI Information

NPI: 1649980947
Provider Name: CHINESE AMERICAN SERVICE LEAGUE, INC.
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 2141 S TAN CT
CHICAGO, IL
ZIP 60616
Phone: (312) 808-0280

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NPI Details

CHINESE AMERICAN SERVICE LEAGUE, INC. is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CHINESE AMERICAN SERVICE LEAGUE, INC. NPI is 1649980947. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2141 S TAN CT
CHICAGO, IL
ZIP 60616-998
Phone: (312) 808-0280

The provider's authorized official is Jered G Pruitt .
The authorized official title is Coo and has the following contact phone number (312) 328-6606.

The enumeration date for this NPI number is 11/29/2022 and was last updated on 4/2/2024.

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	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	224Z00000X	Occupational Therapy Assistant		No
4	225X00000X	Occupational Therapist		No
5	261QH0100X	Clinic/Center	Health Service	No
6	261QM0850X	Clinic/Center	Adult Mental Health	Yes
7	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
8	363LF0000X	Nurse Practitioner	Family	No

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: 3/30/2025

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