Healthcare Provider Details
I. General information
NPI: 1174874788
Provider Name (Legal Business Name): ASIAN HUMAN SERVICES FAMILY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2012
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6301 N WESTERN AVE
CHICAGO IL
60659-2009
US
IV. Provider business mailing address
6301 N WESTERN AVE
CHICAGO IL
60659-2009
US
V. Phone/Fax
- Phone: 773-761-0300
- Fax: 773-761-0009
- Phone: 773-761-0300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUHAMMAD
W
PARACHA
Title or Position: CEO
Credential: MD, MPH
Phone: 773-761-0010