Healthcare Provider Details

I. General information

NPI: 1679628143
Provider Name (Legal Business Name): JAPANESE AMERICAN SERVICE COMMITTEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 N LINCOLN AVE
CHICAGO IL
60659-4799
US

IV. Provider business mailing address

5700 N LINCOLN AVE
CHICAGO IL
60659-4799
US

V. Phone/Fax

Practice location:
  • Phone: 773-275-0097
  • Fax: 773-275-0958
Mailing address:
  • Phone: 773-275-0097
  • Fax: 773-275-0958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MS. COURTNEY J SAKAI
Title or Position: CEO
Credential:
Phone: 773-275-0097