MEDICARE: VAS NETWORKING SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	251T00000X	PACE Provider Organization
3	253Z00000X	In Home Supportive Care Agency
4	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1346801610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAS NETWORKING SERVICES

Provider Business Mailing Address
First Line	:	9135 SO MAY STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-3542
Country	:	US
Telephone Number	:	708-690-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	6330 S KING DRIVE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637-3115
Country	:	US
Telephone Number	:	708-690-4464
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	VALERIE ANN SILAS
Credential	:
Telephone Number	:	708-690-4464

Provider Enumeration Date	:	06/26/2019
Last Update Date	:	06/26/2019

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Directions to “VAS NETWORKING SERVICES ” Practice Location

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