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Organization
CHINESE AMERICAN SERVICE LEAGUE, INC.
Active
Organization
CHINESE AMERICAN SERVICE LEAGUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERED GREGORY PRUITT (CHIEF OPERATING OFFICER)
(312) 328-6606
Entity
Organization
Contact information
Practice address
2141 S TAN CT, CHICAGO, IL 60616-1998
(312) 791-0418
(312) 791-0509
Mailing address
2141 S TAN CT, CHICAGO, IL 60616-1998
(312) 791-0418
(312) 791-0509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
225X00000X
Occupational Therapist
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LF0000X
Family Nurse Practitioner
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
06/01/2026
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