AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC
NPI 1396194692
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Q: What is American Indian Health Service Of Chicago Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since June 07, 2016CLIA 14D1002440 · Waiver

4326 W MONTROSE AVE, CHICAGO, IL 60641(773) 883-9100(773) 883-0005 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Dec 31, 2020 (2 updates tracked since 2020).

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About American Indian Health Service Of Chicago Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC (NPI 1396194692) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Sharon Holt, Qaqi/risk Management, as its authorized official.

NPPES Registry Identity

NPI1396194692

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameAMERICAN INDIAN HEALTH SERVICE OF CHICAGO INC

Location Address4326 W MONTROSE AVEChicago, IL 60641-2016

Mailing Address4326 W Montrose AveChicago, IL 60641-2016 · (773) 883-9100 · Fax (773) 883-0005

Phone(773) 883-9100

Fax(773) 883-0005

Organization SubpartNo

Authorized OfficialSharon HoltQaqi/risk Management · (773) 883-9100

Enumeration DateJune 7, 2016

Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1396194692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 150014334 (IL)

4326 W MONTROSE AVE, Chicago, IL 60641

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1002440

American Indian Hlth Serv Of Chgo Inc · Chicago, IL

Active · expires Jan 23, 2028

CLIA Number14D1002440

Laboratory TypeOther

Certificate Effective DateJanuary 24, 2026

Certificate Expiration DateJanuary 23, 2028

Laboratory DirectorKenneth R. Scott

Laboratory Phone(773) 883-9100

Laboratory LocationAmerican Indian Hlth Serv Of Chgo Inc4326 W Montrose Ave, Chicago, IL 60641

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENDRA DAWN HENRY

Social Worker