Healthcare Provider Details

I. General information

NPI: 1659066058
Provider Name (Legal Business Name): REGAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 W DEVON AVE STE 318
CHICAGO IL
60646-4516
US

IV. Provider business mailing address

4001 W DEVON AVE STE 318
CHICAGO IL
60646-4516
US

V. Phone/Fax

Practice location:
  • Phone: 571-363-5492
  • Fax:
Mailing address:
  • Phone: 773-414-0257
  • 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
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ABIOLA AZEEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 773-414-0257