Chicago Professional Healthcare Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHICAGO PROFESSIONAL HEALTHCARE SERVICES INC.

Practice address

2604 Dempster St Ste 207
Park Ridge, IL 60068-8426

Phone

(708) 667-6604

Fax

(708) 669-8255

NPI assigned

Feb 28, 2010

Organization subpart

No

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

Authorized official

Name

Amjad H Shaik

Title

President

Phone

(708) 667-6604

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148258

Legal name

CHICAGO PROFESSIONAL HEALTHCARE SERVICES INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 31, 2011

Last certification

May 31, 2011

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2604 Dempster St
Ste 207
Park Ridge, IL 60068-8426

Listed as

Chicago Professional Healthcare, IncCCN 148258

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

May 31, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1891017109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688426",
            "telephone_number": "708-667-6604",
            "fax_number": "708-669-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688426",
            "telephone_number": "708-667-6604",
            "fax_number": "708-669-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PROFESSIONAL HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-28",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "SHAIK",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-667-6604"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pheap Chhorm
• Harrah Chiang, DO
• Chicago Center for Anti Aging Inc
• Chicago Chiropractic Associates LTD
• Chicago Hospice, LLC.
• Chicago Surgical Specialists, LLC
• Chicagoland Home Health Provider, Inc.
• Chicagoland Home Health Provider, Inc.
• Brian Allen Chicoine, MD
• Terry Chris Chiganos Jr., M.D., PH.D.

• Home Health Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.