Organization
ESSENTIAL LIFESTYLES LLC
Active
Organization
ESSENTIAL LIFESTYLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DONNER (OWNER/MEMBER)
(847) 957-3157
Entity
Organization
Contact information
Practice address
7408 S HARVARD AVE, CHICAGO, IL 60621-3424
(847) 957-3157
Mailing address
7645 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-2419
(773) 842-8245
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up