Healthcare Provider Details

I. General information

NPI: 1013688282
Provider Name (Legal Business Name): HALLMARK HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 W ARTHUR AVE APT 1
CHICAGO IL
60645-5480
US

IV. Provider business mailing address

2320 W ARTHUR AVE APT 1
CHICAGO IL
60645-5480
US

V. Phone/Fax

Practice location:
  • Phone: 773-337-8654
  • Fax:
Mailing address:
  • Phone: 773-337-8654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: ADAEZE ULOGO
Title or Position: ADMINISTRATOR
Credential:
Phone: 773-337-8654