| Entity Name: | AMERICAN INDIAN HEALTH SERVICE OF CHICAGO |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 23 Dec 1974 |
| Company Number: | CORP_50573702 |
| File Number: | 50573702 |
| Address | 4085 N BROADWAY, CHICAGO, IL, 60613 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URWNJGADVF53 | 2025-04-10 | 4326 W MONTROSE AVE, CHICAGO, IL, 60641, 2016, USA | 4326 W MONTROSE AVE, CHICAGO, IL, 60641, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.AIHSCHGO.ORG |
| Congressional District | 05 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-04-12 |
| Initial Registration Date | 2005-02-08 |
| Entity Start Date | 1974-12-23 |
| Fiscal Year End Close Date | Sep 30 |
Service Classifications
| NAICS Codes | 621112, 621420, 624110, 624120, 813319 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | REJINA DELOS SANTOS |
| Role | EXECUTIVE OFFICER |
| Address | 4326 W MONTROSE AVE, CHICAGO, IL, 60641, 2016, USA |
| Title | ALTERNATE POC |
| Name | MELISSA TALAVERA |
| Role | EXECUTIVE ASSISTANT |
| Address | 4326 W. MONTROSE AVENUE, CHICAGO, IL, 60641, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | REJINA DELOS SANTOS |
| Role | EXECUTIVE OFFICER |
| Address | 4326 W MONTROSE AVE, CHICAGO, IL, 60641, 2016, USA |
| Title | ALTERNATE POC |
| Name | MELISSA TALAVERA |
| Role | EXECUTIVE ASSISTANT |
| Address | 4326 W. MONTROSE AVENUE, CHICAGO, IL, 60641, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | MELISSA TALAVERA |
| Role | EXECUTIVE ASSISTANT |
| Address | 4326 WEST MONTROSE AVENUE, CHICAGO, IL, 60641, USA |
| Title | ALTERNATE POC |
| Name | JULIANNA M CASTRO |
| Role | FINANCE ASST |
| Address | 4326 W MONTROSE AVENUE, CHICAGO, IL, 60641, USA |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ALBERT H MENSAH, MD, 4326 W MONTROSE AVE, CHICAGO, 60641, COOK-NOT IN CITY OF CHICAGO | Agent | 2023-08-03 |
| Name and Address | Role | Account Number |
|---|---|---|
| Paul Arnold | President | 69621 |
| Name and Address | Role | Account Number |
|---|---|---|
| Christopher Bogusch | Secretary | 69621 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2835241 | Issued | 1010 | Limited Business License | 602 - Administrative Commercial Office | 2024-05-13 | 2024-06-16 | 2026-06-15 |
| BUSINESS LICENSE | 2646933 | Issued | 1010 | Limited Business License | 602 - Administrative Commercial Office | 2024-05-13 | 2024-06-16 | 2026-06-15 |
| BUSINESS LICENSE | 1800035 | Issued | 1010 | Limited Business License | No data | 2018-06-12 | 2018-06-16 | 2020-07-15 |
| BUSINESS LICENSE | 1800033 | Cancelled | 1010 | Limited Business License | No data | 2018-06-12 | 2018-06-16 | 2020-06-15 |
| BUSINESS LICENSE | 1800022 | Issued | 1010 | Limited Business License | No data | 2018-06-12 | 2018-06-16 | 2020-07-15 |
| BUSINESS LICENSE | 1270750 | Issued | 1010 | Limited Business License | No data | 2018-06-12 | 2018-06-16 | 2020-07-15 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 75H70524F06004 | 2024-09-20 | 2024-09-30 | 2028-09-30 | |||||||||||||||||||||||||
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| Obligated Amount | 442096.00 |
| Current Award Amount | 442096.00 |
| Potential Award Amount | 442096.00 |
Description
| Title | NON-RECURRING PARTNERSHIP CONFERENCE FUNDING, NR PY ALCOHOL FUNDS, NR BEMIDJI AREA TRAINING AND LEADERSHIP FUNDS AND THE FY 2024 RECURRING 4TH QUARTER FUNDING. |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q201: MEDICAL- MANAGED HEALTHCARE |
Recipient Details
| Recipient | AMERICAN INDIAN HEALTH SERVICE OF CHICAGO |
| UEI | URWNJGADVF53 |
| Recipient Address | UNITED STATES, 4326 W MONTROSE AVE, CHICAGO, COOK, ILLINOIS, 606412016 |
| Unique Award Key | CONT_AWD_75H70524F06003_7527_75H70524D00005_7527 |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Award Amounts
| Obligated Amount | 421439.00 |
| Current Award Amount | 421439.00 |
| Potential Award Amount | 421439.00 |
Description
| Title | THE PURPOSE OF THIS TASK IS TO DISBURSE THE THIRD (3RD) QUARTERLY FUNDING FOR FY 2024. |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q201: MEDICAL- MANAGED HEALTHCARE |
Recipient Details
| Recipient | AMERICAN INDIAN HEALTH SERVICE OF CHICAGO |
| UEI | URWNJGADVF53 |
| Recipient Address | UNITED STATES, 4326 W MONTROSE AVE, CHICAGO, COOK, ILLINOIS, 606412016 |
| Unique Award Key | CONT_AWD_75H70524F06002_7527_75H70524D00005_7527 |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Award Amounts
| Obligated Amount | 419399.00 |
| Current Award Amount | 419399.00 |
| Potential Award Amount | 419399.00 |
Description
| Title | SECOND QUARTERLY PAYMENT 2024 |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q201: MEDICAL- MANAGED HEALTHCARE |
Recipient Details
| Recipient | AMERICAN INDIAN HEALTH SERVICE OF CHICAGO |
| UEI | URWNJGADVF53 |
| Recipient Address | UNITED STATES, 4326 W MONTROSE AVE, CHICAGO, COOK, ILLINOIS, 606412016 |
| Unique Award Key | CONT_AWD_75H70524F06001_7527_75H70524D00005_7527 |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Award Amounts
| Obligated Amount | 430619.00 |
| Current Award Amount | 430619.00 |
| Potential Award Amount | 430619.00 |
Description
| Title | THE PURPOSE IS TO DISTRIBUTE THE FIRST QUARTERLY RECURRING PAYMENT FOR FY 2024. |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q201: MEDICAL- MANAGED HEALTHCARE |
Recipient Details
| Recipient | AMERICAN INDIAN HEALTH SERVICE OF CHICAGO |
| UEI | URWNJGADVF53 |
| Recipient Address | UNITED STATES, 4326 W MONTROSE AVE, CHICAGO, COOK, ILLINOIS, 606412016 |
| Unique Award Key | CONT_IDV_75H70524D00005_7527 |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 14400000.00 |
Description
| Title | CONTINUATION OF MEDICAL HEALTH SERVICES FOR THE ELIGIBLE NATIVE AMERICAN BENEFICIARIES IN THE CHICAGO METRO AREA FOR FY 2025 OCTOBER 1, 2024 - SEPTEMBER 30, 2025 |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q201: MEDICAL- MANAGED HEALTHCARE |
Recipient Details
| Recipient | AMERICAN INDIAN HEALTH SERVICE OF CHICAGO |
| UEI | URWNJGADVF53 |
| Recipient Address | UNITED STATES, 4326 W MONTROSE AVE, CHICAGO, COOK, ILLINOIS, 606412016 |
Date of last update: 13 Jan 2025
