| Asian Human Services Rogers Park Clinic | |
|
1400 W Greenleaf Ave Chicago IL 60626-2805 | |
| (773) 761-0300 | |
| (773) 761-0008 |
| Full Name | Asian Human Services Rogers Park Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1400 W Greenleaf Ave, Chicago, Illinois |
| Authorized Official Name and Position | Muhammad Wasim Paracha (CLINIC DIRECTOR) |
| Authorized Official Contact | 7737610300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asian Human Services Rogers Park Clinic 2424 W Peterson Ave Chicago IL 60659-4100 Ph: (773) 761-0300 | Asian Human Services Rogers Park Clinic 1400 W Greenleaf Ave Chicago IL 60626-2805 Ph: (773) 761-0300 |
| NPI Number | 1285834986 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285834986 | NPI | - | NPPES |
| 210035 | Other | IL | WPS/MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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