Provider Demographics
NPI:1568034858
Name:OASIS HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:OASIS HEALTHCARE SERVICES INC
Other - Org Name:OASIS HEALTHCARE SERVICES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BUKOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOTOSHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-613-0698
Mailing Address - Street 1:721 E 40TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-2803
Mailing Address - Country:US
Mailing Address - Phone:312-613-0698
Mailing Address - Fax:312-277-4113
Practice Address - Street 1:721 E 40TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-2803
Practice Address - Country:US
Practice Address - Phone:312-613-0698
Practice Address - Fax:312-277-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care