Healthcare Provider Details

I. General information

NPI: 1730077959
Provider Name (Legal Business Name): RELIANCE CHILDREN'S HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 07/31/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13608 S ROUTE 30
PLAINFIELD IL
60544-1118
US

IV. Provider business mailing address

1730 PARK ST STE 214
NAPERVILLE IL
60563-2612
US

V. Phone/Fax

Practice location:
  • Phone: 630-430-2057
  • Fax: 708-576-2895
Mailing address:
  • Phone: 630-430-2057
  • Fax: 708-576-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHIOMA AKABOGU
Title or Position: EXECUTIVE DIRECTOR
Credential: ATTORNEY
Phone: 630-430-2057