Well Kept Elder Enterprises, Llc

LBN: Well Kept Elder Enterprises, Llc
Well Kept Elder Enterprises, Llc is an health care organization with primary practice located at 558 W Roosevelt Rd # 3 , Chicago IL 60607-4917. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Well Kept Elder Enterprises, Llc can be contacted via phone (773) 358-8295, or through Buckner, Monica Shalise' via phone (773) 358-8295.

Contact Information

Primary practice address
558 W Roosevelt Rd # 3 Chicago IL 60607-4917
Phone: (773) 358-8295
Fax: (312) 872-3562
Website:
Map and Directions
Authorized official contact:
Name: Buckner, Monica Shalise'
Phone: (773) 358-8295

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1508419367
LBN Legal business name Well Kept Elder Enterprises, Llc
DBA Doing business as Well Kept Elder Enterprises, Llc
Authorized official Buckner, Monica Shalise'
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2019
Last updated Sep 4th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508419367 NPPES
Illinois MEDICAID 125067381

Popular Providers