MEDICARE: ASSYRIAN AMERICAN ASSOCIATION OF CHICAGO, 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396303699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSYRIAN AMERICAN ASSOCIATION OF CHICAGO, INC.,

Provider Business Mailing Address
First Line	:	1618 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1214
Country	:	US
Telephone Number	:	773-338-3922
Fax Number	:

Provider Business Practice Location Address
First Line	:	1618 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1214
Country	:	US
Telephone Number	:	773-338-3922
Fax Number	:	773-973-6005

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMANUEL ISHO
Credential	:
Telephone Number	:	312-802-2208

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	09/11/2025

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