Organization Active NPI

Korean-American Community Services

  • Primary Care Clinic/Center
  • Prospect Heights, IL
National Provider Identifier
1770910556
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KOREAN-AMERICAN COMMUNITY SERVICES
Practice address
664 N Milwaukee Ave
Suite 209
Prospect Heights, IL 60070-2300
Phone
(847) 520-1999
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Inchul Choi
Title
Executive Director
Phone
(773) 583-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

664 N Milwaukee Ave
Suite 209
Prospect Heights, IL 60070-2300

Mailing address

4300 N California Ave
Chicago, IL 60618-1514

National Provider Directory

National Provider Directory

Locations

4300 N California Ave
Chicago, IL 60618

664 N Milwaukee Ave
Ste 209
Prospect Heights, IL 60070
Phone (847) 520-1999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1770910556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 N MILWAUKEE AVE",
            "address_2": "SUITE 209",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702300",
            "telephone_number": "847-520-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREAN-AMERICAN COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "INCHUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "17735835501"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.