| Asian Human Services Family Health Center, Inc. | |
|
6301 N Western Ave Chicago IL 60659-2009 | |
| (773) 761-0300 | |
| (773) 761-0008 |
| Full Name | Asian Human Services Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6301 N Western Ave, Chicago, Illinois |
| Authorized Official Name and Position | Muhammad W Paracha (CLINIC DIRECTOR) |
| Authorized Official Contact | 7737610300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asian Human Services Family Health Center, Inc. 6301 N Western Ave Chicago IL 60659-2009 Ph: () - | Asian Human Services Family Health Center, Inc. 6301 N Western Ave Chicago IL 60659-2009 Ph: (773) 761-0300 |
| NPI Number | 1164439279 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 4385637537 |
|---|---|
| Medicare Enrollment ID | O20041013000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164439279 | NPI | - | NPPES |
| PTAN IL1170 | Other | IL | WPS - MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Maximo Bermudez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497836142 PECOS PAC ID: 0840280962 Enrollment ID: I20040512001150 |
| Provider Name | Casimiro Agulo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013010297 PECOS PAC ID: 4082695275 Enrollment ID: I20040525000678 |
| Provider Name | Gail Lynn Patrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538360623 PECOS PAC ID: 0840387155 Enrollment ID: I20071102000663 |
| Provider Name | Ayesha Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003025438 PECOS PAC ID: 3971666884 Enrollment ID: I20090120000131 |
| Provider Name | Sheri L Schreiber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710972187 PECOS PAC ID: 3375721848 Enrollment ID: I20110705000200 |
| Provider Name | Elizabeth Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568699346 PECOS PAC ID: 5294982591 Enrollment ID: I20120821000848 |
| Provider Name | Peggy Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023247699 PECOS PAC ID: 9739338401 Enrollment ID: I20121012000761 |
| Provider Name | Sreedevi Sodanapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730493891 PECOS PAC ID: 6103068366 Enrollment ID: I20130819000087 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124408976 PECOS PAC ID: 6305278870 Enrollment ID: I20230407001321 |
| Provider Name | Faraz Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174013668 PECOS PAC ID: 0345505517 Enrollment ID: I20230829001190 |
| Provider Name | Jennifer Callegari Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083234421 PECOS PAC ID: 5092138172 Enrollment ID: I20230907000070 |
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