Healthcare Provider Details

I. General information

NPI: 1346801610
Provider Name (Legal Business Name): VAS NETWORKING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 S KING DRIVE AVE
CHICAGO IL
60637-3115
US

IV. Provider business mailing address

9135 SO MAY STREET
CHICAGO IL
60620-3542
US

V. Phone/Fax

Practice location:
  • Phone: 708-690-4464
  • Fax:
Mailing address:
  • Phone: 708-690-4464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: VALERIE ANN SILAS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 708-690-4464