Provider Demographics
NPI:1679211825
Name:MIDWEST ASIAN HEALTH ASSOCIATION
Entity Type:Organization
Organization Name:MIDWEST ASIAN HEALTH ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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:
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder