National Provider Identifier Database

AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC
4326 W MONTROSE AVE
CHICAGO, IL60641-2016
Phone: 773-883-9100
Fax: 773-883-0005
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC

NPI Number 1396194692
Legal business name
LBN
AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC
Authorized official SHARON HOLT - (QAQI/RISK MANAGEMENT)
Entity Organization
Organization subpart No
Enumeration date 06/07/2016
Last updated 12/18/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 150014334

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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