Healthcare Provider Details

I. General information

NPI: 1720524952
Provider Name (Legal Business Name): ROYAL HEALTH SERVICES LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5875 N LINCOLN AVE LBBY LL27
CHICAGO IL
60659-4669
US

IV. Provider business mailing address

5875 N LINCOLN AVE LBBY LL27
CHICAGO IL
60659-4669
US

V. Phone/Fax

Practice location:
  • Phone: 312-388-4696
  • Fax: 872-208-5409
Mailing address:
  • Phone: 312-388-4696
  • Fax: 872-208-5409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number4000530
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3001403
License Number StateIL

VIII. Authorized Official

Name: MR. OLANIYI ISAAC OGUNNIYI
Title or Position: ADMINISTRATOR
Credential:
Phone: 312-388-4696