Healthcare Provider Details

I. General information

NPI: 1982511283
Provider Name (Legal Business Name): PARK & WELLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N ASHLAND AVE STE 500
CHICAGO IL
60622-8327
US

IV. Provider business mailing address

1200 N ASHLAND AVE STE 500
CHICAGO IL
60622-8327
US

V. Phone/Fax

Practice location:
  • Phone: 312-859-0259
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KEVIN DENZEL
Title or Position: OWNER
Credential:
Phone: 312-859-0259