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General NPI Number Information
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NPI Number | 1396303699
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Entity Type | Organization
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Legal Business Name | ASSYRIAN AMERICAN ASSOCIATION OF CHICAGO, INC.,
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1618 W DEVON AVE
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City | CHICAGO
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State | IL
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Zip | 60660-1214
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Country | US
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Telephone | 773-338-3922
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Fax | 773-973-6005
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Provider Business Mailing Address
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Address Line | 1618 W DEVON AVE
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City | CHICAGO
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State | IL
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Zip | 60660-1214
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Country | US
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Telephone | 773-338-3922
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMANUEL ISHO
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Credential |
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Telephone | 312-802-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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