MEDICARE: ASIAN HUMAN SERVICES, 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	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	A50030001A	IL

General Provider Information

NPI Number	:	1548382690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASIAN HUMAN SERVICES, INC.

Provider Business Mailing Address
First Line	:	2838 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3809
Country	:	US
Telephone Number	:	773-564-4944
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4100
Country	:	US
Telephone Number	:	773-293-8430
Fax Number	:	773-728-4751

Authorized Official
Title or Position	:	DIRECTOR, BEHAVIORAL HEALTH
Name	:	CATHRYN SAVINO
Credential	:	LCPC
Telephone Number	:	480-620-9762

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	06/10/2024

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