Provider Demographics
NPI:1972773042
Name:ACCESS HEALTH CARE CENTER
Entity Type:Organization
Organization Name:ACCESS HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RENLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:XIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-216-1460
Mailing Address - Street 1:110 S RIVER RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-3440
Mailing Address - Country:US
Mailing Address - Phone:847-294-9614
Mailing Address - Fax:847-294-9644
Practice Address - Street 1:110 S RIVER RD
Practice Address - Street 2:SUITE 7
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-3440
Practice Address - Country:US
Practice Address - Phone:847-294-9614
Practice Address - Fax:847-294-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL7003184261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical