MEDICARE: BKD PERSONAL ASSISTANCE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1003533720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BKD PERSONAL ASSISTANCE SERVICES LLC

Provider Business Mailing Address
First Line	:	3121 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-4945
Country	:	US
Telephone Number	:	773-832-0883
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-4945
Country	:	US
Telephone Number	:	773-832-0883
Fax Number	:

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	JOANNE K LESKOWICZ
Credential	:
Telephone Number	:	414-918-5000

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

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