Healthcare Provider Details

I. General information

NPI: 1164439279
Provider Name (Legal Business Name): ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
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

Practice location:
  • Phone: 773-761-0300
  • Fax: 773-761-0008
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD W PARACHA
Title or Position: CEO
Credential: MD., MPH
Phone: 773-761-0300