NPIMap

Organization Active NPI

Asian Human Services of Chicago, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1467685669
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
A50030001A Issued in IL
Legal business name
ASIAN HUMAN SERVICES OF CHICAGO, INC.
Practice address
1643 W Bryn Mawr Ave
Chicago, IL 60660-4106
Phone
(773) 433-3530
NPI assigned
Sep 3, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Craig Maki, PH.D
Title
Chief Executive Officer
Phone
(773) 293-8468

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Asian Human Services of Chicago Inc (7 organizations share this tax ID)

Locations

1643 W Bryn Mawr Ave
Chicago, IL 60660
Phone (773) 433-3530

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A-5003-001-A IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X A50030001A IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1643 W Bryn Mawr Ave
Chicago, IL 60660-4106

Mailing address

4753 N Broadway St Ste 700
Chicago, IL 60640-4995
Phone (773) 293-8430

Other names 1

NPPES NPI Registry
  • Asian Human Services, Inc. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2017.

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1467685669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404995",
            "telephone_number": "773-293-8430",
            "fax_number": "773-728-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 W BRYN MAWR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604106",
            "telephone_number": "773-433-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN HUMAN SERVICES OF CHICAGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "773-293-8468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-5003-001-A",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "A50030001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asian Human Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.