Provider Demographics
NPI:1184642928
Name:RLS COMPREHENSIVE SERVICES
Entity Type:Organization
Organization Name:RLS COMPREHENSIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:773-804-0133
Mailing Address - Street 1:PO BOX 346068
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-6068
Mailing Address - Country:US
Mailing Address - Phone:773-804-0133
Mailing Address - Fax:773-804-0240
Practice Address - Street 1:6120 W NORTH AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-3901
Practice Address - Country:US
Practice Address - Phone:773-804-0133
Practice Address - Fax:773-804-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL211047Medicare ID - Type UnspecifiedMEDICARE IDENTIFICATION #