Organization
ESSENCE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TESLIM O OPAKUNLE (CEO)
(708) 692-7791
Entity
Organization
Contact information
Practice address
10449 VENICE LN, ORLAND PARK, IL 60467-8218
(708) 692-7791
Mailing address
10449 VENICE LN, ORLAND PARK, IL 60467-8218
(708) 692-7791
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922487370
—
IL
Enumeration date
02/25/2019
Last updated
10/07/2020
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