CAMBODIAN ASSOCIATION OF ILLINOIS

BLOOMINGDALE, IL
NPI1396156717
Entity TypeOrganization
Authorized ContactKOMPHA SETH
Executive Director
773-878-7090
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: IL  INH1012030)
Additional Taxonomies253Z00000X In Home Supportive Care
(Licence: IL  INH1413006)
253Z00000X In Home Supportive Care
(Licence: IL  INH1402004)
Enumeration Date2014-05-20
Last Update Date2016-05-19
Business Address
CAMBODIAN ASSOCIATION OF ILLINOIS
123 E LAKE ST STE 204
BLOOMINGDALE, IL 60108-1100
Phone number: 773-878-7090
Mailing Address
CAMBODIAN ASSOCIATION OF ILLINOIS
2831 W LAWRENCE AVE
CHICAGO, IL 60625-3619
Phone number: 773-878-7090