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General NPI Number Information
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NPI Number | 1053580100
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Entity Type | Organization
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Legal Business Name | ASIAN HUMAN SERVICES, INC.
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 2424 W PETERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-4100
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Country | US
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Telephone | 708-304-3586
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Fax |
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Provider Business Mailing Address
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Address Line | 2838 W PETERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-3809
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Country | US
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Telephone | 708-247-5838
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, BEHAVIORAL HEALTH
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Name | CATHRYN SAVINO
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Credential | LCPC
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Telephone | 708-304-3586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | A-5003-0001-A
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License Number State | IL
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