Healthcare Provider Details

I. General information

NPI: 1316883192
Provider Name (Legal Business Name): PURE LIGHT HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 S KING DR APT 1102
CHICAGO IL
60616-2985
US

IV. Provider business mailing address

2801 S KING DR APT 1102
CHICAGO IL
60616-2985
US

V. Phone/Fax

Practice location:
  • Phone: 312-885-9351
  • Fax:
Mailing address:
  • Phone: 312-885-9351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AURORE MURIELLE B BAILO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 312-885-9351