Healthcare Provider Details

I. General information

NPI: 1265388458
Provider Name (Legal Business Name): EPITOME OF CARE & QUALITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 W GREENLEAF AVE UNIT 1E
CHICAGO IL
60626-5870
US

IV. Provider business mailing address

1522 W GREENLEAF AVE UNIT 1E
CHICAGO IL
60626-5870
US

V. Phone/Fax

Practice location:
  • Phone: 773-677-6163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ADETUTU BOMBATA
Title or Position: CEO
Credential:
Phone: 773-677-6163