Provider Demographics
NPI:1568793776
Name:K&B LIFECARE, INC
Entity Type:Organization
Organization Name:K&B LIFECARE, INC
Other - Org Name:BRIGHTSTAR OF BARRINGTON / MCHENRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEICHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-858-4280
Mailing Address - Street 1:4590 PRINCETON LANE #110
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60142-6767
Mailing Address - Country:US
Mailing Address - Phone:224-858-4280
Mailing Address - Fax:224-858-4522
Practice Address - Street 1:4590 PRINCETON LN STE 110
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-6767
Practice Address - Country:US
Practice Address - Phone:224-858-4280
Practice Address - Fax:224-858-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2009-N1222251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care