Provider Demographics
NPI:1629759550
Name:MIDWEST ASIAN HEALTH ASSOCIATION
Entity Type:Organization
Organization Name:MIDWEST ASIAN HEALTH ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JIA YIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-285-2287
Mailing Address - Street 1:218 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2204
Mailing Address - Country:US
Mailing Address - Phone:312-285-2287
Mailing Address - Fax:312-225-8798
Practice Address - Street 1:218 W 26TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2204
Practice Address - Country:US
Practice Address - Phone:312-285-2287
Practice Address - Fax:312-225-8798
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWEST ASIAN HEALTH ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health