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NPI Code Detail

MEDICARE: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.

MEDICARE: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PTAN IL1170OTHERILWPS - MEDICARE PART B

General Provider Information

NPI Number : 1164439279
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 6301 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-2009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6301 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-2009
Country : US
Telephone Number : 773-761-0300
Fax Number : 773-761-0008
Authorized Official
Title or Position : CEO
Name : MUHAMMAD W PARACHA
Credential : MD., MPH
Telephone Number : 773-761-0300
Provider Enumeration Date : 08/02/2006
Last Update Date : 02/25/2025

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