Healthcare Provider Details

I. General information

NPI: 1184642928
Provider Name (Legal Business Name): RLS COMPREHENSIVE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6120 W NORTH AVE SUITE 204
CHICAGO IL
60639-3901
US

IV. Provider business mailing address

PO BOX 346068
CHICAGO IL
60634-6068
US

V. Phone/Fax

Practice location:
  • Phone: 773-804-0133
  • Fax: 773-804-0240
Mailing address:
  • Phone: 773-804-0133
  • Fax: 773-804-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROMONA SMITH-BATTLE
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 773-804-0133