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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI # 1760572671
LBN Legal business name AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC
Authorized official ALBERT MENSAH - (EXECUTIVE MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/13/2006
Last updated 12/18/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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