Organization
AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HOLT (QAQI/RISK MANAGEMENT)
(773) 883-9100
Entity
Organization
Contact information
Practice address
4326 W MONTROSE AVE, CHICAGO, IL 60641-2016
(773) 883-9100
(773) 883-0005
Mailing address
4326 W MONTROSE AVE, CHICAGO, IL 60641-2016
(773) 883-9100
(773) 883-0005
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
150014334
IL
Other
Enumeration date
06/07/2016
Last updated
12/18/2025
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