OrganizationActive
American Indian Health Service of Chicago Inc
NPI 1396194692 · Federally Qualified Health Center (FQHC) · Chicago, IL
Provider details
- NPI number
- 1396194692
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sharon Holt, Qaqi/Risk Management(773) 883-9100
- License
- 150014334 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense 150014334 (IL)
Ambulatory Health Care Facilities
Practice location
4326 W Montrose Ave
Chicago, IL 60641-2016
Phone: (773) 883-9100
Fax: (773) 883-0005
Approximate (ZIP-level) locationGet directions
Mailing address
4326 W Montrose Ave
Chicago, IL 60641-2016
Registry dates
- Enumerated
- 2016-06-07
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.