Provider Demographics
NPI:1598111445
Name:EVERLY HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:EVERLY HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:EKWONWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-217-9546
Mailing Address - Street 1:1425 STURBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1369
Mailing Address - Country:US
Mailing Address - Phone:224-356-1831
Mailing Address - Fax:847-701-8723
Practice Address - Street 1:1425 STURBRIDGE CT
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-1369
Practice Address - Country:US
Practice Address - Phone:224-356-1831
Practice Address - Fax:847-701-8723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001268376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty