Organization
AFFINITY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHEEN THASON (PRESIDENT)
(773) 585-8644
Entity
Organization
Contact information
Practice address
5635 S PULASKI RD, SUITE 200 2ND FLOOR, CHICAGO, IL 60629-4438
(773) 585-8644
Mailing address
2024 S WABASH AVE, SUITE 306, CHICAGO, IL 60616-2192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350749945001
—
IL
Enumeration date
04/18/2007
Last updated
08/22/2020
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