Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cambodian Association of Illinois

Organization In Home Supportive Care Agency · NPI 1396156717

Cambodian Association of Illinois is an In Home Supportive Care Agency in Bloomingdale, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
Specialties on file
3

Practice location Address checks out

123 E Lake St Ste 204
Bloomingdale, IL 60108-1100
Phone: (773) 878-7090
Fax: (773) 878-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence INH1012030 (IL)
In Home Supportive Care Agency Taxonomy 253Z00000X · Licence INH1413006 (IL)
In Home Supportive Care Agency Taxonomy 253Z00000X · Licence INH1402004 (IL)

Record details

NPI number1396156717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kompha Seth — Executive Director · (773) 878-7090
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 19, 2016
Mailing address2831 W Lawrence Ave, Chicago, IL 60625-3619

Other providers in Bloomingdale