Healthcare Provider Details

I. General information

NPI: 1366379877
Provider Name (Legal Business Name): PAKAMERICAN SERVICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W PETERSON AVE STE 440
CHICAGO IL
60659-3499
US

IV. Provider business mailing address

3525 W PETERSON AVE STE 440
CHICAGO IL
60659-3499
US

V. Phone/Fax

Practice location:
  • Phone: 872-254-9003
  • Fax: 773-654-1279
Mailing address:
  • Phone: 872-254-9003
  • Fax: 773-654-1279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SYED M HASHMI
Title or Position: MANAGER
Credential:
Phone: 872-254-9003