Kingdom Living Healthcare Sc

LBN: Kingdom Living Healthcare Sc
Kingdom Living Healthcare Sc is an health care organization with primary practice located at 1701 W Monterey Ave Suite 1, Chicago IL 60643-4257. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Kingdom Living Healthcare Sc can be contacted via phone (773) 445-0292, or through Buckles, Anthony L via phone (773) 445-0292.

Contact Information

Primary practice address
1701 W Monterey Ave Suite 1 Chicago IL 60643-4257
Phone: (773) 445-0292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckles, Anthony L Doctor of Medicine (MD)
Phone: (773) 445-0292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1720021496
LBN Legal business name Kingdom Living Healthcare Sc
DBA Doing business as
Authorized official Buckles, Anthony L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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