Provider Demographics
NPI:1316275779
Name:COMMUNITY HEALTH SERVICES LLC
Entity type:Organization
Organization Name:COMMUNITY HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEOLU
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-608-4951
Mailing Address - Street 1:17843 TORRENCE AVE
Mailing Address - Street 2:SUITE 2R
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-1835
Mailing Address - Country:US
Mailing Address - Phone:708-983-5137
Mailing Address - Fax:708-394-0241
Practice Address - Street 1:17843 TORRENCE AVE
Practice Address - Street 2:SUITE 2R
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-1835
Practice Address - Country:US
Practice Address - Phone:708-983-5137
Practice Address - Fax:708-394-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health