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Organization
KINGZKID HEALTH SERVICES LLC
Active
Organization
KINGZKID HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUYEMI OGUNSANYA (ADMINISTRATOR)
(773) 653-6237
Entity
Organization
Contact information
Practice address
1801 W TOUHY AVE UNIT C, CHICAGO, IL 60626-2335
(773) 653-6237
Mailing address
1801 W TOUHY AVE UNIT C, CHICAGO, IL 60626-2335
(773) 653-6237
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
NULL
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O25265481172
—
IL
Enumeration date
09/06/2021
Last updated
09/06/2021
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