Active NPI
Chinese American Service League, Inc.
- Homemaker
- Chicago, IL
National Provider Identifier
1902161490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- CHINESE AMERICAN SERVICE LEAGUE, INC.
- Practice address
- 2141 S Tan CT
Chicago, IL 60616-1998 - Phone
- (312) 791-0418
- Fax
- (312) 791-0509
- NPI assigned
- Jul 10, 2012
- Last updated
- Jun 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jered Gregory Pruitt
- Title
- Chief Operating Officer
- Phone
- (312) 328-6606
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Occupational Therapist | 225X00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Ambulance | 341600000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Homemaker | 376J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2141 S Tan CT
Chicago, IL 60616-1998
Mailing address
2141 S Tan CT
Chicago, IL 60616-1998
Phone (312) 791-0418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210317001952 | IL | Part B Supplier - Clinic/Group Practice | 1951717933 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Chicago, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1649980947
O20210317001952
National Provider Directory
National Provider DirectoryLocations
2141 S Tan Ct
Chicago, IL 60616
Phone (312) 791-0418
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1558135004
-
- Clinical Social Worker
- Chicago, IL
- NPI 1790431153
-
- Clinical Social Worker
- Chicago, IL
- NPI 1730937731
-
- Occupational Therapist
- Chicago, IL
- NPI 1578937991
-
- Clinical Social Worker
- Chicago, IL
- NPI 1417770132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1902161490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 S TAN CT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161998",
"telephone_number": "312-791-0418",
"fax_number": "312-791-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 S TAN CT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161998",
"telephone_number": "312-791-0418",
"fax_number": "312-791-0509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHINESE AMERICAN SERVICE LEAGUE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-10",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "JERED",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "312-328-6606",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Chinatown Physical Medicine & Rehab LTD (Chinatown Square Ing Chiropractic)
- Ammie Lucero Chinchilla
- Raka Chindavong
- Chindika Healthcare Inc.
- Chinese American Service League, Inc.
- Chinese Mutual Aid Association
- Wilson Ching, M.D.
- Petrina Chino, D.P.M.
- Deepti Rekha Chinta, MD
- Namrata Vyshnavi Chintalapati
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.