Healthcare Provider Details

I. General information

NPI: 1245045863
Provider Name (Legal Business Name): ESQUARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6517 N CALIFORNIA AVE APT 204
CHICAGO IL
60645-4499
US

IV. Provider business mailing address

6517 N CALIFORNIA AVE APT 203
CHICAGO IL
60645-4499
US

V. Phone/Fax

Practice location:
  • Phone: 773-552-7753
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAIWO ADEKUNLE
Title or Position: OWNER
Credential:
Phone: 773-552-7753