Organization
OASIS HEALTHCARE SERVICES INC
Active
Other names
oasis healthcare servives inc
Organization subpart
No
Provider details
NPI number
Authorized official
BUKOLA OMOTOSHO MD (MANAGER)
(312) 613-0698
Entity
Organization
Contact information
Practice address
719 E 40TH ST, CHICAGO, IL 60653-2803
(312) 613-0698
Mailing address
719 E 40TH ST, CHICAGO, IL 60653-2803
(312) 613-0698
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4000709
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
09/15/2021
Last updated
09/15/2021
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