Healthcare Provider Details

I. General information

NPI: 1285351965
Provider Name (Legal Business Name): BKD PERSONAL ASSISTANCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 CONCORD LN
NORTHBROOK IL
60062-7163
US

IV. Provider business mailing address

4501 CONCORD LN
NORTHBROOK IL
60062-7163
US

V. Phone/Fax

Practice location:
  • Phone: 847-803-6869
  • Fax:
Mailing address:
  • Phone: 847-803-6869
  • 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: ANNA F.C. MUNOZ
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 414-918-5000