South-East Asia Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

SOUTH-EAST ASIA CENTER

Practice address

5120 N Broadway St
Chicago, IL 60640-3004

Phone

(773) 989-6927

Fax

(888) 831-5471

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Fanny Wong

Title

Executive Director

Phone

(773) 989-7433

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492819200000",
    "number": "1972847820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W AINSLIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403602",
            "telephone_number": "773-989-7433",
            "fax_number": "888-831-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403004",
            "telephone_number": "773-989-6927",
            "fax_number": "888-831-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH-EAST ASIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-04-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "FANNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-989-7433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Side Healthy Community Organization, Inc
• South Side Help Center
• South Side Medical Group LTD.
• South Side Pharmacy, Inc.
• South Suburban Health Professionals PC
• Ahnawee South, MSN, APRN, FNP-C
• Kara Southard
• Southeast Anesthesia Consultants LTD
• Southeast Chicago Neurology Associates SC
• Southeast Senior Center

• Voluntary or Charitable Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.