Healthcare Provider Details

I. General information

NPI: 1114851581
Provider Name (Legal Business Name): ALINEA HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15635 S 94TH AVE # 108
ORLAND PARK IL
60462-4722
US

IV. Provider business mailing address

15635 S 94TH AVE # 108
ORLAND PARK IL
60462-4722
US

V. Phone/Fax

Practice location:
  • Phone: 206-535-3555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: AISHA KHAN
Title or Position: PRESIDENT
Credential:
Phone: 206-535-3555